Optimum Road Health Centre

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them with advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this.

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 ensured that the care and treatment offered were effective. Clinicians completed thorough assessments and reviewed each person’s health, care and wellbeing needs in partnership with them. At the initial consultation, the clinician carried out a comprehensive assessment which included a full medical history, developmental information and details relating to the person’s presenting concerns. Following this assessment, clinicians discussed appropriate treatment options with the person.

Our review of clinical records showed that clinicians consistently explained the benefits, risks and possible side effects of proposed treatments so that people could make informed decisions about their care. When the service identified that a person’s needs could not be met safely or effectively within the service, clinicians considered alternative pathways and directed individuals to other appropriate services.

The service planned and delivered people’s care and treatment with them, taking into account what mattered to them. Care was provided in line with relevant legislation and current evidence-based guidance and standards.

Systems were in place to ensure staff stayed up to date with guidance and good practice. Clinical records showed that care, treatment, and investigations were carried out in line with current guidance.

When patients requested assessments or blood tests, staff always discussed the potential benefits and relevance of the tests with them, rather than simply providing the service. Patients were involved in these conversations and supported to make informed decisions about their care and treatment.

The service worked well across teams and other healthcare services to support people. Staff shared assessments of patients’ needs when they moved between services, helping to ensure people only needed to repeat their information once.

Patients’ NHS GP was informed of any prescriptions or treatment with the patient’s consent, and the service supported referrals to other healthcare providers when required. Staff had access to the information they needed to appropriately assess, plan, and deliver care. The service collaborated with external providers to support continuity of care, including when clinical tasks were delegated or shared with other services.

The service supported people to manage their health and wellbeing to maximise their independence, choice, and control. Staff worked with patients to help them make informed decisions about their care and encouraged actions that could improve their overall health.

The service identified patients at risk of developing long-term conditions or other health complications and provided advice or interventions to help reduce these risks.

The service routinely monitored people’s care and treatment to support continuous improvement. Clinicians reviewed assessment findings, treatment plans and follow-up outcomes across all areas of the service, including general private health care and attention deficit hyperactivity disorder assessments.

This regular monitoring ensured that care remained appropriate, safe and effective for the range of conditions managed by the service. The approach supported the delivery of positive and consistent outcomes that met recognised clinical expectations, as well as the personal goals and expectations of the people who used the service.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Clinicians explained the purpose of assessments and treatments, including those related to general private health care and minor surgery, and ensured that people understood the information provided before agreeing to proceed.

Staff understood and applied legislation and guidance relating to consent. Capacity and consent were clearly recorded in clinical records. Staff assessed a person’s

ability to make decisions when required and ensured that decisions were made in the best interests of individuals who lacked capacity.