The Care Quality Commission
  • Doctor
  • Independent doctor

The Hand to Elbow Clinic

Overall: Good read more about inspection ratings

29A James Street West, Bath, Avon, BA1 2BT (01225) 316895

Provided and run by:
Mr Grey Giddins

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about The Hand to Elbow Clinic on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about The Hand to Elbow Clinic, you can give feedback on this service.

30 August 2019

During a routine inspection

This service is rated as Good overall.

A previous inspection was carried out at The Hand to Elbow Clinic on 14 November 2012 when we inspected the provision of private doctor consultation and treatment services. At that time, we did not rate the service but found the provider had met the requirements of the key questions for providing safe, effective, caring, responsive and well led care. 

We carried out this comprehensive inspection at The Hand to Elbow Clinic on 30 August 2019 and 5 September 2019 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This announced inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to check that the provider had maintained the standards we saw at our last inspection.

The key questions are rated as:

  • Are services safe? – Good
  • Are services effective? – Good
  • Are services caring? – Good
  • Are services responsive? – Good
  • Are services well-led? – Good

The service has a registered manager. Like registered providers, they are ‘registered persons’ who have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The service is registered with the Care Quality Commission (CQC) to provide the regulated activities diagnostic and screening procedures, surgical procedures and treatment of disease, disorder or injury.

Our key findings were:

  • The service had systems in place to manage significant events.
  • The provider had a clear vision to deliver high quality care for patients.
  • There were clearly defined systems, processes and practices to minimise risks to patient safety.
  • Staff had been trained in areas relevant to their role.
  • The service had systems in place for monitoring and auditing the care that had been provided.
  • The clinicians assessed patients’ needs and delivered care in line with current evidence-based guidance.
  • Information about services provided was available and easy to understand.
  • The clinicians had the skills and knowledge to deliver effective care and treatment.
  • There was an effective system in place for obtaining patients’ consent.
  • The service had systems and processes in place to ensure that patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
  • The service had good facilities and was well equipped to treat patients and meet their needs.
  • The service was aware of and complied with the requirements of the Duty of Candour.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

14 November 2012

During a routine inspection

Patients we met at the Hand Clinic told us they were treated with privacy, dignity and respect. Patients said they were happy with the care they had received. One patient said: "the care they give you is great." Another said: "I was well prepared for the operation." We were told staff gave patients confidence and enabled them to make informed decisions about treatment. Patients said they felt their personal information was treated with confidentiality. They had not overheard or seen confidential information relating to another patient.

We found the clinic to be clean, uncluttered and well organised. Staff were properly supported, supervised and appraised. Records held by the clinic were stored securely and only accessible to those people authorised to see them. The records were clear, legible and fit for their intended purpose.