Your New Slimming Clinic Limited

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. At our last inspection we rated the key question of effective as Requires Improvement. At this assessment the rating has changed to Good.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service required some improvement in assessing people’s care and treatment needs.

We reviewed patient records which highlighted that record keeping was not consistent across all patients. We saw evidence that weight loss was being tracked, however some patient’s notes lacked cleardocumentation from a clinician. Management advised that this would be audited and fed back to clinical staff.

We reviewed patient feedback which indicated patients were happy with the service received from the provider. The provider also told us they had not received any complaints in the last year. We saw evidence of patients being assessed appropriately at an initial consultation with the service. Furthermore we saw evidence of the provider contacting a GP ahead of consultation if they felt this was necessary. Staff checked people’s health, care, and wellbeing needs during appointments.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. However they did not always make improvements based on audits. The provider told us patients were treated as a new patient if they did not attend the service for a period of 3 months or more.

Clinical leaders carried out audits of patient records to ensure care was being delivered effectively. The provider was able to demonstrate some examples of audits, but it was not clear that improvements had been made following the work. For example record keeping had been audited but still required some improvement from clinicians. We discussed with the provider the importance of discussing risks associated with contraception whilst taking weight loss injections. There was no evidence that clinicians were discussing this with patients in the notes we reviewed. Since our site visit the provider has confirmed this in an item on patient records.

The service worked well across teams and services to support people. We saw a clear improvement in communication with GP practices. Providing a letter to the patient’s GP practice was embedded within practice for both new and returning patients. We saw evidence of staff within the service working to the same processes. We noted good communication between management and clinical staff. Management told us GP practices had begun referring patients to them, and management were looking into accessing vouchers from a local gym for patients.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and achieve a target weight. Staff were available outside of opening hours and were contactable via telephone for patients who needed any support. Staff worked with patients to ensure the most appropriate medication for them was prescribed.

The service routinely monitored people’s care and treatment. Patients were able to provide feedback to management, and we received positive patient feedback in relation to the service. Records were clear in most cases and ensured patients could see how much weight they had lost, however documented conversations with a clinician required some improvement as this was an inconsistency we noted. The provider was able to demonstrate that timely correspondence was made with the patients GP practice. The provider had clear guidance in place surrounding prescribing where reviews had not been carried out.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded.