Solutions 4 Health- Hereford

Updated 28 June 2023

Solutions 4 Health is a Consultant led Level three sexual health service offering clinics both to prevent and treat sexual health related conditions, as well as offering various forms of contraception including long acting reversible contraception.

The service has been registered with the CQC since 2019 to provide the regulated activities of Diagnostic and Screening Procedures, Family Planning and Treatment of Disease, Disorder or Injury.

Services are provided to approximately 5,200 patients a year. Patients can access the service via in person appointments or virtual and telephone appointments. The service is open 9am-5pm Monday and Wednesday; 9am-7pm Tuesday and Thursday; and 9am-1pm on Friday.

How we inspected this service

An on site focused inspection was completed at Solutions 4 Health Hereford and whilst on site we interviewed staff, reviewed documentation and inspected the premises.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 28 June 2023

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services well-led? – Good

We carried out an announced focused inspection at Solutions 4 Health on 14 June 2023 to follow up on breaches of regulations. Following our previous inspection on 14 April 2022, the service was rated ‘Requires Improvement’ for the key questions of Safe, and Well Led; and ‘Good’ for Effective, Caring and Responsive. The practice was rated ‘Requires Improvement’ overall. We issued a Requirement Notice to the practice requiring it to improve the governance of its service. We checked these areas as part of this focused inspection and found these had been resolved.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Solutions 4 Health on our website at www.cqc.org.uk.

Solutions 4 Health is a level three consultant lead sexual health service, which provides screening and diagnostic services for sexual health related conditions; treatment for sexual health conditions and a variety of contraception including long acting reversible contraception (LARC) and pre-exposure prophylaxis (PrEP) - a medicine taken to prevent contracting Human Immunodeficiency Virus (HIV).

The Director of Public Health & Lifestyle Services is the Registered Manager. A Registered Manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected

• information from our ongoing monitoring of data about services and

• information from the provider, patients, the public and other organisations.

At this inspection we found:

• The service had effective systems to assess, monitor and manage risks to patient safety.
• There were reliable systems in place for appropriate and safe handling of medicines.
• Leaders had the capacity and skills to deliver high-quality, sustainable care.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.
• There were clear and effective processes for managing risks, issues and performance.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services