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Inspection report

Date of Inspection: 17 January 2013
Date of Publication: 13 February 2013
Inspection Report published 13 February 2013 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 January 2013, observed how people were being cared for and talked with people who use the service. We talked with staff and received feedback from people using comment cards.

Our judgement

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

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at a sample of four case notes. The person’s history and clinical symptoms were outlined in each set of notes. Their exercise and dietary habits were also recorded. Tests undertaken were recorded and any change in symptoms or change in treatment plan was documented. This information was then recorded in a letter sent to the person, which was filed in the notes.

Staff we spoke with told us that the consultation letter was also sent to the GP, or the referrer, with the permission of the person. Those people who used the service who lived abroad, were provided with a duplicate letter for them to take back to their medical practitioner.

Staff told us that the doctors discussed the results of the tests with each individual to ensure they understood them and to provide people with an opportunity to ask any questions about their tests or treatment.

One person told us that as well as discussing the tests and treatment, advice on diet and lifestyle was provided. We were shown information and advice sheets available in both hard copy and on the internet. Information included topics such as cholesterol lowering diet, better eating and weight control, advice on stopping smoking and alcohol lowering.

There were arrangements in place for foreseeable emergencies. No cardiac exercise tests were undertaken without a doctor on site. Resuscitation equipment including a defibrillator and emergency drugs were available and in date.