The Care Quality Commission
  • Clinic
  • Slimming clinic

Archived: Medical Slimming Clinic - Doncaster

11a Priory Place, Doncaster, South Yorkshire, DN1 1BL 07599 998426

Provided and run by:
Medical Slimming Clinic Ltd

All Inspections

17 December 2016

During an inspection looking at part of the service

We carried out an announced comprehensive inspection of this service on 03 February 2016. Breaches of legal requirements were found. After the comprehensive inspection, the service wrote to us to say what they would do to meet legal requirements in relation to breaches of regulations 12, 13, 17, 18 and 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Medical Slimming Clinic -Doncaster on our website at www.cqc.org.uk.

Our findings were:

Are services safe?

We found that this service was not providing safe care in accordance with the relevant regulations because safety systems and processes were not reliable; proper recruitment checks had not been carried out, infection prevention and control arrangements were inadequate and a fire risk assessment had not been carried out.

Are services effective?

We found that this service was not providing effective care in accordance with the relevant regulations because decisions about treatment were not always clearly recorded in patient’s records and medicines were prescribed against manufacturer's recommendations.

Are services well-led?

We found that this service was not providing well-led care in accordance with the relevant regulations because the provider did not have adequate systems and processes in place to monitor and improve the quality of the service being provided.

We identified regulations that were not being met and the provider must:

  • Ensure there are adequate systems and processes in place to monitor and improve the quality of the service being provided
  • Ensure there is an adequate fire risk assessment in place
  • Ensure there are safe systems in place for the management of medicines
  • Ensure adequate infection control measures are in place at the service
  • Ensure proper recruitment checks are carried out prior to employment
  • Ensure that robust systems and processes are in place to prevent abuse of service users
  • Maintain an up to date record of appraisals

There were areas where the provider could make improvements and should:

  • Only supply unlicensed medicines against valid special clinical needs of an individual patient where there is no suitable licensed medicine available

You can see full details of the regulations not being met at the end of this report.

03 February 2016

During a routine inspection

We carried out an announced comprehensive inspection on 03 February 2016 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 not providing safe care in accordance with the relevant regulations because safety systems and processes were not reliable; medicines were not managed safely, and equipment was not maintained appropriately.

Are services effective?

We found that this service was not providing effective care in accordance with the relevant regulations because decisions about treatment were not always clearly recorded in patient’s records.

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 not providing well-led care in accordance with the relevant regulations because the provider did not have adequate systems and processes in place to monitor and improve the quality of the service being provided.

Background

Medical Slimming Limited is located in Doncaster town Centre. The service comprises of reception and office areas and one clinic room. A toilet facility is available at the clinic premises. There are two clinicians, and a manager who also works as the receptionist. Slimming and obesity management services are provided for adults from 18 to 65 years of age either by appointment or on a ‘walk-in’ basis.

32 people provided feedback about the service before and during our inspection.

Our key findings were:

  • Patients told us they were treated with consideration, dignity and respect and involved in decisions about their care and treatment.
  • The premises were clean and tidy, and the facilities were appropriate for the services being delivered
  • Staff and patients told us that all consultations were carried out in the privacy of a consulting room.

There were areas where the provider must make improvements and must:

  • Ensure there are adequate systems and processes in place to monitor and improve the quality of the service being provided.
  • Ensure there is in place an adequate risk assessment with regard to fire, and that firefighting equipment has been serviced according to manufacturers’ recommendations.
  • Ensure that all electrical appliances on the premises have been PAT tested, and medical equipment is regularly calibrated.
  • Ensure there are safe systems in place for the management of medicines
  • Ensure adequate infection control measures are in place at the service
  • Ensure that robust systems and processes are in place to prevent abuse of service users
  • Maintain an up to date record of appraisals and confirmation of revalidation of medical staff

There were other areas where the provider should make improvements and should:

  • Encourage feedback from patients and show how patient feedback is driving improvements within the service
  • Ensure that treatment protocols clearly set out when it is appropriate to prescribe medicines
  • Assess how they will make their services accessible. They should review the interpretation services offered to clients who speak another language, and the reasonable adjustments made for disabled patients to ensure they are not disadvantaged compared with non-disabled people
  • Ensure that where patients do not opt out, information about their treatment is shared with their GP

22 January 2014

During a routine inspection

We were unable to obtain the views of people who used the service, because no one attended the clinic at the time of our visit. People who used this service could access the clinic without an appointment.

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

People received care and treatment from suitably qualified, skilled and experienced staff. Appropriate checks had been undertaken before staff began work.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

We found people were protected from the risks of unsafe or inappropriate care and treatment because their records had been reviewed and updated regularly.

27 February 2013

During an inspection looking at part of the service

Our inspection of 27 June 2012, found that people were not protected against the risks associated with medicines, because the provider did not have appropriate arrangements in place to manage medicines. We issued a compliance action which required the provider to ensure they became compliant with this outcome. The provider wrote to us and told us that they would improve in this area by the 19 June 2012.

Our inspection of 27 February 2013, found that the action plan had been achieved.

We did not speak to people who used the service when assessing this outcome.

27 June 2012

During a routine inspection

We asked to speak to several people during this inspection. With the exception of one person, people did not want to discuss the reasons for attending the clinic. The person we spoke with told us their partner had attended the clinic and was pleased with the outcome so they were attending for the first time, to see if the treatment was suitable for him.