Lancaster House Community Healthcare & Diagnostics

Updated 26 June 2017

Lancaster House Consulting Diagnostics and Surgical Limited Consulting & Diagnostic & Surgical Limited registered in 2013 and provided community adult and children services in continence, stoma and urology at three locations: Phoenix Health Centre, Oldham Integrated Care Centre and Glodwick Health Centre. Since November 2016 services at Phoenix Health centre have been transferred to Glodwick Health Centre.

Lancaster House Consulting Diagnostics and Surgical Limited recently expanded in October 2016 to provide outpatient services in gynaecology and cardiology.

The service primarily serves the communities of Oldham, Greater Manchester areas.

The providers registered manager is Neeraj Sharma who has been in post since 2013.

The provider is registered to provide the following regulated activities:

• Diagnostic and screening procedures
• Treatment of disease, disorder or injury.

This service has not previously been inspected.

We carried out an announced inspection of Glodwick Health Centre on 23 February 2017. We carried out the unannounced inspection on 3 March 2017. As part of our inspection we visited Glodwick Health Centre and Oldham Integrated Care Centre which provides Continence & Stoma Care services.

Updated 26 June 2017

Glodwick Health Centre is operated by Lancaster House Diagnostics and Surgical Services Ltd. Community services in urology and continence and stoma services have been provided since 2013 with gynaecology and cardiology services provided since November 2016.

We carried out an announced inspection of Glodwick Health Centre on 23 February 2017. We carried out the unannounced inspection on 3 March 2017. As part of our inspection we visited Glodwick Health Centre and Oldham Integrated Care Centre which provides Continence & Stoma Care services.

During our inspection we inspected the two core services; community health services for adults and community health services for children and young people.

We did not inspect other services that operate at these locations as these are services provided by another provider.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005. The main service provided was community health for adults. Where our findings on community health for adults for example, management arrangements also apply to community health for children, young people and families, we do not repeat the information. 

We regulate independent community adults and children’s services but we do not currently have a legal duty to rate them. We highlight good practice and issues that service providers need to improve and take regulatory action as necessary.

We found the following areas of good practice:

• There were systems in place to keep people safe and learn from incidents.
• There were adequate numbers of suitably qualified, skilled and experienced staff (including doctors, nurses and technicians) to meet patients’ need.
• Care was delivered in line with national guidance and the outcomes for patients were good.
• Patients could access care when they needed it.
• Care delivered was caring, compassionate and people were treated with dignity and respect.

However, we also found the following issues that the service provider needs to improve:

• Governance processes including the risk register, audit trail and incident recording were not robust.
• Patient records were inconsistently completed.
• Some provider documentation in relation to care and treatment was inconsistent with no version control, start date or review date.
• Not all substantive staff had access to policies and procedures to perform their job.
• Not all staff had completed mandatory training.
• Not all patients had access to information leaflets in different languages and for those who are blind or partially sighted leaflets were not available in a suitable form.

Following this inspection, we told the provider that it must take some actions to comply with the regulations and should make other improvements. We also issued the provider with a requirement notice that affected community health services for adults, children, young people and their families. Details are at the end of the report.

Updated 26 June 2017

Community health services for adults were the main services provided by the service.

Where our findings on community adults also apply to children’s services, we

do not repeat the information but cross-refer to the community adults section.

All aspects of the service including staffing, training and governance were managed jointly with children’s services.

Updated 26 June 2017

Community health services for children, young people and families were a small proportion of the activity provided by the service.

The main service was community adults. Where arrangements were the same, we have reported findings in the community adults section.