During our inspection we spoke with six people who used the service. We also spoke with eleven clinical and non clinical members of staff. This included theatre staff, staff on the Dudley and Bournville suites (ward areas) and senior managers and administrative staff.

At our last inspection we were concerned that people had been put at risk of unsafe care in the operating theatres. During this visit we were accompanied by a specialist advisor for theatres who helped us to look at the safety of people who underwent surgical procedures at the hospital. We found that the provider had acted on these concerns and that improvements had been made to ensure the safety of people who used the service.

The people we spoke with told us that they were happy with the care and treatment they had received at the hospital. Comments we received from people about the service included; “I’m very happy with the experience, it has all been extremely positive” and “It has been excellent. The doctors informed me about what they were going to do and kept me updated.”

People told us that they were given sufficient information to enable them to make informed choices about their treatment before giving consent.

Systems in place ensured people were protected from the risk of infection. Staff understood their responsibilities in maintaining a hygienic environment for people who used the service and were supported with this.

People were cared for and supported by suitable staff because appropriate checks of staff had been carried out before they commenced work at the hospital.

Quality monitoring processes helped to ensure that people received a good service. Although it was not always clear how information obtained through audits and investigations of incidents had been acted on.

We carried out this review to check on the care and welfare of people using this hospital.

We spoke with six people using the hospital who told us they were happy with the quality of care and treatment received which met their goals along their road to recovery. Comments made by people included, ‘’Surgeons saw me everyday’’, ‘’Beyond expectations’’, and ‘’You can’t teach empathy and they have it here’’.

A person described to us that when they came to the hospital they were shown their room and met staff. This person told us that information about the hospital and how to make complaints was also given to them.

All of the people we spoke with told us that they were well aware of the care, treatment and support they would receive whilst in hospital as they had received information prior to their treatment.

People told us that whilst in hospital, doctors and nurses spoke with them regularly, and explained what was happening and why. People were positive about the staff at the hospital. Comments included ’’Could not ask for better care’’, ‘’Very experienced staff, so reassuring’’, ‘’The porter arrived, a smile, wonderful welcome which was good as I felt vulnerable’’.

The hospital was making sure that people had opportunities to give their views about the service. Records showed that people's views were being used to make sure that the hospital was being run in the best interests of the people who use it.

This location is part of BMI Healthcare Limited.

The hospital is a purpose built facility in the suburb of Edgbaston near the city centre. It is a mile away from a sister BMI hospital and shares some functions and staff with it.

The work undertaken is mostly elective. We inspected as a core service Medical care, Surgery, Outpatients & diagnostic imaging. We looked at but not as a stand-alone core service intensive care. We did not inspect the fertility clinic as that is regulated by the Human Fertilisation Embryology Authority (HFEA). We inspected the hospital as part of our commitment to inspect all independent health providers. We undertook this as a comprehensive inspection.

From October 2014 to September 2015, there were 1,316 medical procedures. There were 314 diagnostic endoscopic examinations such as colonoscopy and cystoscopy, between August 2015 and January 2016

Between October 2014 and September 2015 there were 6,773 surgical procedures completed at the hospital. The most common surgical procedures being; Multiple Arthroscopic Surgery – Knee (266 procedures), Phacoemulsification of lens with implant – unilateral (245 procedures) and Total prosthesis replacement knee joint (200 procedures).

• 16% of all patients were NHS funded (Oct 2014 to Sep 2015).

• There were 118 registered beds however, only 84 were in operation
• Five theatres
• The Registered Manager is Mrs Paula Naylor who had been in post for two months.