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Inspection report

Date of Inspection: 14 January 2014
Date of Publication: 21 February 2014
Inspection Report published 21 February 2014 PDF

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

Meeting 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 14 January 2014, observed how people were being cared for and sent a questionnaire to people who use the service. We talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People received care and treatment that met their needs.

A person who used the service told us “The service here is literally perfect.” They went onto say “A member of staff is fabulous at what they do; her knowledge and care are second to none.”

All of the people we asked confirmed that staff explained to them exactly what their treatment entailed. We saw information given to patients prior to any treatment given, which included a brochure outlining treatments that were available and prices that related to various procedures. This meant that people were informed about the treatment they received.

We looked at a sample of both electronic and paper patient records that related to people’s care and treatment. Each record had a registration form that was completed for each patient. The form included background information about a patient’s medical history, current medication, any known allergies, and treatment undertaken. This information was reviewed prior to any treatment given. This meant that staff had the most up to date medical information that related to a patient.

Most of the people we asked told us that they were involved in the discussions about their treatment and care. They told us that their preferences and wishes were taken into account. This meant that people needs were taken into account in the delivery of their treatment.

We saw information such as after care information given to patients that related to the treatment given The provider also told us that patients had access to an out of hours service if they had any concerns outside of the normal opening hours of the service. This meant that people who used the service were given information and care and support about their wellbeing in relation to the treatment given.

We noted that there were treatment rooms available on the ground floor for patients who had mobility requirements. We also noted that there were patient toilets available on the ground floor. This meant that arrangements were in place to facilitate patients who could not use the stairs.

We saw from the electronic patient records, information where a doctor had referred the care and treatment of a patient to another healthcare professional. For example, where additional treatment was needed. This meant that patients were referred to other professional bodies when appropriate.

The provider informed us that doctors received regular alerts and updates through the NHS. The provider had systems in place to record medical consumables used during treatment, which enabled them to identify and recall medical equipment, if requested. This meant that the provider followed appropriate guidance from external bodies.

The provider had systems in place to deal with unexpected emergencies, such as a patient collapsing. We noted that the provider had an emergency medical kit and oxygen in place. In the event of computer failure or if staff were unable to access the office, the provider had a system in place to back up their computer server and remotely access computer records.

The provider might like to note that the emergency plan we saw did not contain all emergencies that could reasonably be expected to arise, for example fire, flood, pandemics and electrical failure. This would minimise the impact to people if emergencies took place.