Your New Slimming Clinic

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We looked for evidence that people were protected from abuse and avoidable harm.

This is the first inspection for this service since its registration with CQC. This key question has been rated as Good.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. When learning from safety events identified the need for changes to be made, leaders put these in place without delay.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. We reviewed evidence which indicated a clear process for sharing patient information with GP practices.

There were systems in place for processing information relating to new patients. The provider worked with other providers to deliver shared care and when patients moved between services.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

Safeguarding policies were in place and known to staff, who were appropriately trained in safeguarding procedures. Meetings were held when required.

The provider worked with people to understand and manage risks. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Staff could recognise a deteriorating patient and knew of action to take. Patients were advised on risks related to medications.

Patients had access to support from members of staff if they became unwell. This was provided via telephone and was available out of hours.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Contracts were in place to ensure the premises were maintained. Health and safety risk assessments and audits had been undertaken and risks identified had been addressed. There was a business continuity plan in place which was monitored and reviewed.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

We found training was up to date, learning needs and development of staff was managed appropriately, and staff were working within their agreed areas of competence. Safe recruitment practices were followed.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

The provider had a designated infection, prevention and control lead and all staff had had relevant training. Cleaning schedules were in place and followed. Risk assessments and audits were completed, and actions taken to mitigate risks.

Medicines histories were clearly recorded at the start of treatment and were reviewed when people were away from the service for greater than 3 months. Prescribing guidance was in place which included inclusion and exclusion criteria.

Medicines were stored securely with access restricted. Records of use and stock balances were in place. Medicines labels met legal requirements. Audits were completed of stock balances however some records were not accurate although stock balances were correct on the day of inspection. We brought this to the attention of the manager, who investigated and actioned change to prevent this occurring again.

Destruction records were not always clear and where people returned medicines these were not always accurately reflected in records. We brought one incident to the attention of the manager who investigated and implemented immediate change to prevent this occurring again.

The provider did not stock emergency medicines.

The provider used a nominated pharmacy for those people who were prescribed injectable weight loss medicines. There was a clear audit process for the supply of these medicines and patient records documented what was prescribed and when as well as weight loss.