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We are carrying out checks at National Slimming Centres (York). We will publish a report when our check is complete.

Inspection Summary


Overall summary & rating

Updated 12 December 2017

We carried out an announced comprehensive inspection on 6 September 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 providing safe care in accordance with the relevant regulations

Are services effective?

We found that this service was not 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 not providing well-led care in accordance with the relevant regulations

Background

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Our key findings were:

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

  • Ensure that care and treatment is provided in a safe way for the service users.
  • Ensure that systems and processes are in place to effectively monitor and improve the quality of services being provided.

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 medical emergencies.
  • Review the labelling of medicines.
  • Review effectiveness of safeguarding training.
  • Review the system for dissemination of information from head office.
  • Only supply unlicensed medicines against valid special clinical needs of an individual patient where there is no suitable licensed medicine available
Inspection areas

Safe

Updated 12 December 2017

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

the relevant regulations.

We found areas where improvements could be made relating to the safe labelling of medicines in line with legislation. The provider did not have appropriate training records to ensure that staff had the necessary skills and competence.

Effective

Updated 12 December 2017

We found that this service was not providing effective care in accordance with the relevant regulations. We identified examples of medical records which lacked clinical detail, medicines were prescribed below the thresholds set out in the clinic protocol and national guidance and treatment breaks were not adhered to. The impact of our concerns is minor for patients using the service, in terms of the quality and safety of clinical care. The likelihood of this occurring in the future is low once it has been put right. We have told the provider to take action (see full details of this action in the Requirement Notices at the end of this report).

Caring

Updated 12 December 2017

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

the relevant regulations.

Patients told us that they felt well supported when making choices about their care and treatment and were treated with dignity and respect.

Responsive

Updated 12 December 2017

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

the relevant regulations. Patient questionnaires were reviewed every six months and feedback was assessed and acted.

Well-led

Updated 12 December 2017

We found that this service was not providing well-led care in accordance with the relevant regulations. We found areas were improvements should be made. Clinical audits were not effective and the doctors were not fully involved in the clinical audit process to drive improvements. We have told the provider to take action (see full details of this action in the Requirement Notices at the end of this report).