Spire Windsor Clinic is operated by Spire Healthcare Ltd. The service provides diagnostic, imaging and consultation services. The clinic is part of Spire Thames Valley Hospital but is registered separately: people may attend both the clinic and the hospital, either by their own choice or at the request of their consultant. In addition to the services provided directly by Spire, independent practitioners provide consultations from the premises, these were not inspected, as they do not fall within the remit of this inspection.

The service has consultations for initial and follow up appointments with consultants providing surgery, medical care, services for children and young people, plain x-ray and MRI scans. There was also a treatment room for nurse-led follow up appointments and wound-dressing changes.

We inspected this service using our comprehensive inspection methodology. We carried out the announced part of the inspection on 16 March 2017, along with an unannounced visit to the hospital on 28 November 2016.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Services we rate

We rated this service as Good overall.

We found good practice in relation to outpatient care:

• Staffing levels were sufficient to meet patient needs, and skill mix was planned and reviewed to ensure that patients were safe.

• We found a good incident reporting culture, staff were trained how to report and there was a willingness to learn from mistakes.

• The hospital had systems in place for reporting abuse and safeguarding patients.

• Equipment was maintained and appropriately checked.

Leanne Wilson

Interim Head of Hospital Inspection, South Central Region