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Archived: National Slimming Centre (Northampton)

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All reports

Inspection report

Date of Inspection: 20 March 2012
Date of Publication: 29 June 2012
Inspection Report published 29 June 2012 PDF

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

Not met 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

Our judgement

People did not always receive effective, safe and appropriate care and support which met their needs.

User experience

People we spoke with said that staff at the centre had been polite and friendly. People told us that they had a longer appointment on their first visit and spent some time with the doctor. People said the doctor took their blood pressure and tested their urine. They said the doctor asked them about their medical history and explained about healthy eating and exercise.

People said they received an advice leaflet about diet and exercise. One person said that they could call the director, manager or receptionist if they had any questions or for emotional support.

Other evidence

The doctor said that on a person’s first visit she took a full medical history. She said she also measured their height and weight, determined their body mass index (BMI) and tested their urine for glucose to rule out diabetes. She also discussed people’s food habits and offered dietary advice. The doctor set a target weight and wrote out a letter for the person’s GP explaining what medication had been prescribed. All people using the service had a BMI of over 30, which meant they met the criteria for medication to be prescribed.

Following their consultation with the doctor, the manager or receptionist discussed diet and exercise advice with people using the booklet produced by the National Slimming Centres head office. Two of the three staff who provided advice had not received training in diet and nutrition. There were numerous diet programmes provided within the booklet which could lead to confusion about what healthy eating plan to follow. The manager stated that people could bring in diet and exercise diaries to show the doctor if they wished, however, the clinic did not provide any diary planners or exercise sheets. There were no procedures for monitoring whether people were following a healthy and safe diet and exercise routine.

We looked at 15 treatment records. These did not include essential records of conversations with people about diet, exercise or emotional support, assessments of whether the treatment was successful in achieving weight loss or decisions made to change medication. For example, one person’s record showed that their blood pressure had risen significantly after one week since taking medication prescribed by the doctor. The person was prescribed a further four week’s supply of the medication but the reason for this decision was not recorded. Continued increase in blood pressure could have put the person’s health at risk.