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Archived: The Calthorpe Clinic

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All reports

Inspection report

Date of Inspection: 8 March 2012
Date of Publication: 17 April 2012
Inspection Report published 17 April 2012 PDF | 32.86 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 08/03/2012, looked at records of people who use services and talked to staff.

Our judgement

An assessment of people's care and treatment takes place, in line with legal requirements, to protect people's health, safety and wellbeing and ensure their individual needs are met.

User experience

At our previous visit, we found that a complete assessment of people's care and treatment did not always take place. This was because the provider was not always following the requirements of the Abortion Act 1967. We identified a number of cases where one doctor's opinion and certification of termination predated the referral and assessment of women in the clinic. In the certificates identified, it was unclear how the doctor completing the certificate in advance reviewed any clinical files or other information about that specific woman before signing the certificate.

We revisited the clinic in March 2012 to make sure improvements had been made. We looked at the records of 26 people. These showed that both doctors involved in agreeing for a procedure to take place had completed an assessment before confirming suitability of the woman for the procedure. The registered manager told us that a new procedure was in place to make sure that certificates were not signed or dated before an assessment of the person took place.

After our visit, we spoke with a doctor and a surgeon who worked at the clinic. They were both aware of the new procedures in place regarding the assessment process, and completion of the certificates. One of them told us ‘’The new procedures are a vast improvement.’’

Other evidence

When we visited the clinic, we found that there was a new written procedure in place about the completion of the certificates. Some of the medical staff who worked at the clinic had signed to say they had read the new procedures. We were told that all staff had been informed of the procedure at a staff meeting.

We found that controls and checks had been introduced to make sure that the procedure for assessment of people and the completion of the certificate was being followed. We requested that the registered provider ensured that staff involved in these checks were appropriately trained and skilled.