Archived: Transform Medical Group (CS) Limited (Bristol)

Care was assessed and delivered in a way to meet the needs of people who used the service. The processes and documentation used in the clinic enabled people to make informed choices about their care and be fully aware of the expected results of surgery and the risks involved.

The provider had quality assurance processes in place to ensure that equipment was maintained.

There was no systematic approach to induction, training and appraisal in the clinic although there were company policy and procedures to support these activities. This meant that people cannot be assured that they received care, treatment and support from appropriately trained and competent staff.

There were corporate quality assurance systems in place. All monitoring was controlled and managed by head office.

People felt well-informed and involved in their care. They were told about risks associated with their treatment and were asked to give consent before procedures took place. We saw that staff assessed the individual needs of each person that used the service and devised a treatment plan that was safe and appropriate.

There was a system in place to monitor the quality of care but it was not well implemented and we could not see that changes were made to care as a result of quality audits. There was no analysis of the causes of adverse incidents.

Staff support was lacking. We could find little evidence that induction training was given to staff when they started their employment. On-going training for staff appeared haphazard and incomplete We could not find any records of yearly appraisals and there was no clinical supervision for nursing staff. However, people did say that they enjoyed their work and were happy working at the clinic.