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Inspection report

Date of Inspection: 17 December 2013
Date of Publication: 8 January 2014
Inspection Report published 08 January 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 17 December 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

People felt satisfied with the treatment that was provided at the clinic. One person we met told us that the doctor had, “so much empathy she is very knowledgeable and gives you hope there are always different things you can try”. Another person told us, “she is so well read she knows everything that you need to know, she works with you and helps you to choose your treatment”. Another comment made about the doctor was, “you are treated like you would a friend. If I had a test result due and I was anxious they wouldn’t leave me hanging on”.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. We saw in the four medical records we looked at that a detailed medical history was completed during the initial consultation with the person. We saw that the doctor used this information to plan people’s treatment with them. People told us they were fully consulted with in relation to their proposed plan of treatment.

People were fully informed and involved in the treatment they received. We read ‘treatment pathway’ information written by the doctor, in each of the medical records we saw. A treatment pathway sets out what treatment a person has. It is a record of the progress of their condition along their particular pathway. We saw that the doctor had written to each person. They had explained in detail to them what they proposed for them for their particular treatment pathway.

This provider worked with other health care professionals involved in the care and treatment of people they were seeing at their clinic. We viewed the information pack people received. This stated, ‘when I become involved with patient’s treatment, it is very important that I communicate with their other doctors. There is always personal choice of course but when I prescribe medication it is essential that I let other doctors know ’.

We read emails from people who used the service to the doctors at the clinic. We saw confirmation that people had given permission for the doctor at the clinic to contact their GP and their medical consultant about their treatment. We read copies of letters in each of the three medical records that the doctor had written to people’ GPs and to their medical consultants.

There were arrangements in place to deal with unforeseeable emergencies. We were shown confirmation that the nurse had received basic life support training. We saw that the emergency resuscitation equipment was in working order. We saw records that confirmed this was checked regularly to ensure it worked in the event of a medical emergency.