The Care Quality Commission
  • Clinic
  • Slimming clinic

New Leaf Health Care Limited - Leeds Clinic

Overall: Good read more about inspection ratings

Duncan House, 14 Duncan Street, Leeds, West Yorkshire, LS1 6DL (0113) 244 8866

Provided and run by:
New Leaf Healthcare Limited

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about New Leaf Health Care Limited - Leeds Clinic on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about New Leaf Health Care Limited - Leeds Clinic, you can give feedback on this service.

23 January 2017

During an inspection looking at part of the service

Background

We carried out an announced comprehensive inspection of this service on 25 July 2017 where breaches of legal requirements were found. After the comprehensive inspection, the service wrote to us to say what they would do to meet legal requirements in relation to a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this unannounced focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in  relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for New Leaf Health Care - Leeds Clinic on our website at www.cqc.org.uk.

 

Our key findings were:

  • We saw improvements in prescribing practices, including medical record keeping
  • The prescribing policy had been updated and met the recommendations made in national guidance for treating obesity
  • A series of audits had been introduced to monitor prescribing
  • An appropriate procedure was in place to deal with medical emergencies

25 July 2017

During a routine inspection

We carried out an announced comprehensive inspection of this service on 26 January 2016. Breaches of legal requirements were found. After the comprehensive inspection, the service wrote to us to say what they would do to meet legal requirements in relation to a breach of regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We undertook this comprehensive inspection to confirm that they now met legal requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for New Leaf Health Care -Leeds Clinic on our website at www.cqc.org.uk.

We carried out an announced comprehensive inspection on 25 July 2017 to ask the service the following key questions: Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was not providing safe care in accordance with the relevant regulations

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations

Background

New Leaf Healthcare Limited is located in Leeds City Centre and offers a private weight reduction service for adults over the age of 18. The clinic comprises of reception and office areas and one clinic room. It has disabled access and a toilet facility. The clinic is open for both pre-booked and walk-in consultations 9:30am to 1:30pm Monday, Wednesday and Friday, and appointments can be booked by request every other Saturday. The clinic employs two doctors, one receptionist and a manager, who 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 identified some examples of unsafe prescribing
  • Staff had the appropriate skills and experience
  • Appropriate arrangements were in place to safeguard patients from abuse
  • The clinic had a comprehensive set of policies and procedures governing all activities
  • Patients told us staff were polite and helpful and the doctor was knowledgeable

We identified regulations that were not being met and the provider must:

  • Ensure care and treatment is provided in a safe way for service users

You can see full details of the regulations not being met at the end of this report.

There were areas where the provider could make improvements and should:

  • Carry out a risk assessment for the provision of medicines and equipment for use in a medical emergency
  • Review the necessity for chaperoning at the service, and staff training requirements if necessary
  • Only supply unlicensed medicines against valid special clinical needs of an individual patient where there is no suitable licensed medicine available

26 January 2016

During a routine inspection

We carried out an announced comprehensive inspection on 26 January 2016 to ask the service the following key questions: Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations

Background

New Leaf Healthcare Limited is located in a shared building in Leeds City Centre, and has been in operation since 1988. The service comprises of reception and office areas and one clinic room, all with disabled access. A toilet facility is available outside the clinic premises in the main building. There are three clinicians, two receptionists and a 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run). Slimming and obesity management services are provided for adults from 18 to 65 years of age either by appointment or on a ‘walk-in’ basis.

15 people provided feedback about the service before and during our inspection.

Our key findings were:

  • Staff knew how to raise concerns and report safety incidents. Information about safety was recorded and reviewed, and appropriate action taken in response to incidents.
  • Staff were appropriately trained and supported to learn and develop through supervision and appraisal.
  • Patients told us they were treated with consideration, dignity and respect and involved in decisions about their care and treatment.
  • The service was well led with appropriate policies and procedures in place to govern activity

There were areas where the provider must make improvements and must:

  • Ensure that robust systems and processes are in place to prevent abuse of service users

There were areas where the provider could make improvements and should:

  • Ensure that equipment is regularly calibrated according to the manufacturer’s instructions
  • Consider installing hand washing facilities in the clinic room
  • Review the interpretation services offered to clients who speak another language, and the reasonable adjustments made for disabled patients to ensure they are not disadvantaged compared with non-disabled people, for example those with hearing impairment.

16 October 2013

During a routine inspection

We observed staff treating people with respect, being polite and courteous. People who used the service had contributed their opinions and preferences in relation to how treatment and care was delivered. One person told us, 'They wanted to understand my lifestyle, it was an in-depth consultation.'

We found there was evidence people had completed consent to treatment forms. The form also contained consent information if they did not want their doctor to be informed about their attendance at the clinic. People had treatment plans relating to all aspects of their treatment needs. One person told us, 'It does work.'

We spoke with two people who used the service. They told us they were given information, at the clinic, about the medicines that had been prescribed for them and about the side effects and risks. They told us they were weighed and had their blood pressure taken at each visit. They said they had no concerns and were happy with their treatment.

People were treated by staff who were supported to deliver care safely and to an appropriate standard. Staff had a programme of on-going training and appraisal. There were quality monitoring programmes in place, which included people giving feedback about their care, support and treatment. This provided an overview of the quality of the service's provided.

7 November 2012

During a routine inspection

Before people received any treatment they were routinely asked for their consent and the provider recorded their wishes. All the treatment plans we looked at contained evidence of consent being obtained prior to people receiving treatment. The three people we spoke with told us they were asked to sign a consent form before their treatment commenced.

People experienced treatment and support that met their needs and protected their rights. People had detailed treatment plans relating to aspects of their treatment needs. People were very positive about the service. One person said, 'The service is great, it has been very good for me and helped me lose weight.'

People who used the service were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. There were resources available to all staff in relation to safeguarding, including policies and procedures. People told us that they felt safe at the clinic.

We found that people were supported by sufficient numbers of qualified, skilled and experienced staff which met people's needs. People we spoke with told us there were always enough staff to help them when they attended the clinic.

There was a quality evaluation programme in place, which included people giving feedback about their treatment and the manager completing audits of the service. This meant that management had a good overview of the quality of service provided.

3 October 2011

During an inspection looking at part of the service

At the last two compliance reviews we spoke to people who use the service and they told us they were satisfied with the service they receive. We have not spoken to people who use the service as part of this review.

16 March 2011

During an inspection looking at part of the service

This responsive review commenced on 14 March 2011. We did another responsive review which was completed on 4 February 2011. As part of the previous review we talked to several people who had recently used the service and they told us they were satisfied. They said they had talked to staff about the service they received from the clinic and if they had any concerns they would speak to the registered manager or a doctor. One person said staff had talked to them about their medication and 'they had plenty of leaflets at the clinic'. They said they had discussed 'possible side effects and the best times to take the medication'. Another person said the clinic has discussed the medication they prescribed and asked about other medication they take. People said they have their weight and blood pressure checked when they see the doctor.

We spoke to one person who uses the services during this review. They told us they were happy with the service, and had been given advice on healthy eating and had been told about 'potential side effects' of the medication they had been prescribed.

6 January 2011

During an inspection in response to concerns

We spoke to people who have recently used the service and they told us they were satisfied. They said they have talked to staff about the service they have received from the clinic and if they had any concerns they would speak to the registered manager or a doctor.

One person said staff had talked to them about their medication and 'they had plenty of leaflets at the clinic'. They said they had discussed 'possible side effects and the best times to take the medication'. Another person said the clinic has discussed the medication they prescribed and asked about other medication they take.

People said they have their weight and blood pressure checked when they see the doctor