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Archived: Cosmopolitan Medical Clinic

This service is now registered at a different address - see new profile

Inspection Summary


Overall summary & rating

Updated 2 May 2018

We carried out an announced comprehensive inspection on 15 February 2018 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 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 providing well-led care in accordance with the relevant regulations.

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 service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The service has a registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

This provider offers private vaccinations, travel and health screening services.

Nineteen patients provided feedback about the service on the Care Quality Commission comments cards, all the comments were positive.

Our key findings were:

  • The care provided was safe. There was a culture of placing safety at the core of activity. Systems to support safety within the building were effective and well embedded.
  • There was a strong emphasis on continuous learning for staff.
  • There was abundant information for patients on how to approach their treatment.
  • Feedback from patients was uniformly positive.
  • There was a very clear pricing structure to help patients understand the total cost of the options available.

We identified areas where the provider should make improvements:

  • Review training and records kept for staff to ensure all staff are up to date.
  • Review implementing a business continuity plan.
Inspection areas

Safe

Updated 2 May 2018

We found that this service was providing safe care in accordance with the relevant regulations.

  • We found there was an effective system for reporting and recording significant events, though no events had been reported during the previous year. There were systems to help ensure that if things went wrong patients were informed as soon as practicable, received reasonable support, truthful information, and a written apology. They were told about any actions to improve processes to prevent the same thing happening again.
  • The provider had clearly defined and embedded systems, processes and practices to minimise risks to patient safety.
  • Staff demonstrated that they understood their safeguarding responsibilities. The registered manager was in the process of upgrading the level of training for child safeguarding level three which was more appropriate to their role.

Effective

Updated 2 May 2018

We found that this service was providing effective care in accordance with the relevant regulations.

  • Staff were aware of current evidence based guidance and acted upon it.
  • Audits demonstrated quality improvement.
  • Staff had the skills and knowledge to deliver effective care and treatment.
  • There was evidence of appraisals and personal development plans for all staff.
  • Staff worked with other health care professionals to understand and meet the range and complexity of patients’ needs.

Caring

Updated 2 May 2018

We found that this service was providing caring services in accordance with the relevant regulations.

  • The CQC comment cards showed that patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
  • Information for patients about the services available was accessible.
  • Patients were treated with kindness and respect.
  • The provider maintained patient and information confidentiality.

Responsive

Updated 2 May 2018

We found that this service was providing responsive care in accordance with the relevant regulations.

  • The provider took account of the needs and preferences of patients such as those with a learning disability.
  • The CQC comment cards showed that patients said it was easy to make an appointment.
  • The provider had good facilities and was well equipped to treat patients and meet their needs.
  • Information about how to complain was available. There was a policy on handling complaints that included processes for learning from complaints.

Well-led

Updated 2 May 2018

We found that this service was providing well-led care in accordance with the relevant regulations.

  • The provider had a clear vision and strategy to deliver high quality care.
  • There was a clear leadership structure and staff felt supported by management. The policies and procedures to govern activity were effective.
  • An overarching governance framework supported the delivery of the strategy and good quality care. Most staff working for the provider also worked for the NHS. There was a reliance on the training that those staff received, or should receive, in the NHS without always checking, for example by viewing certificates, that the training had taken place.
  • Staff had annual performance reviews and attended staff meetings and training opportunities.
  • The provider was aware of the requirements of the duty of candour.
  • There was a culture of openness and honesty.
  • The provider had systems for being aware of notifiable safety incidents and sharing the information with staff and ensuring appropriate action was taken.
  • The provider sought feedback from staff and patients and we saw examples where feedback had been acted on.
  • There was a focus on continuous learning and improvement at all levels.