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Archived: Blackberry Orthopaedic & Sports Clinic

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Inspection report

Date of Inspection: 26 November 2013
Date of Publication: 1 January 2014
Inspection Report published 01 January 2014 PDF | 72.94 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 26 November 2013, talked with people who use the service and talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

We looked at the results from patient questionnaires which had been completed in July 2013. We saw that people had recorded that they were 'completely' or 'very satisfied' with the treatment they had received. We saw that while the questionnaires were anonymous, people had been asked to give the name of the practitioner that they had seen. This was so that feedback if there were any areas of concern could be fed back to practitioners to improve their practice.

We noted that the provider had a policy which stated that a random selection of people’s notes would be selected on a three monthly basis to check that details had been recorded following their treatment. We were told by the manager that any issues were fed back to staff during the continuing practice development meetings. This meant that the provider had an effective system to regularly assess and monitor the quality of service that people received.

We saw that the provider had a policy on the management of complaints and that the procedure for people to raise concerns was provided in the patients guide. We saw that one complaint had been received in 2013. We saw that this had been responded to promptly, and that the matter had been resolved. This meant that the provider took account of complaints and comments to improve the service.

We looked at records that had been completed following untoward incidents such as a minor injury to a member of staff and we saw that discussion had taken place and that this had included any changes that were required to reduce the risk of this occurring again. We found that there was evidence that learning from incidents / investigations had taken place and appropriate changes were implemented.