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Archived: MASTA Travel Clinic - Monument Good

Reports


Inspection carried out on 25/07/2019

During a routine inspection

This service is rated as Good overall. (Previous inspection 24 May 2018 – the provider was not rated at this stage in line with our methodology at the time.)

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

We carried out an announced comprehensive inspection at MASTA Travel Clinic - Monument as part of our inspection programme under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Our key findings were:

  • Patients received individualised travel health brief which was tailored to their specific needs and travel plans. The comprehensive health brief outlined a risk assessment; all travel vaccinations that were either required or recommended, and other relevant health information related to their destinations.
  • The clinic had clear systems to manage risk so that safety incidents were less likely to happen. The provider discussed any incidents with the wider corporate team where lessons learned were shared to improve their processes across all locations.
  • The provider ensured that care and treatment was delivered according to evidence based guidelines and up to date travel health information.
  • Staff had the relevant skills, knowledge and experience to deliver the care and treatment provided by the service.
  • Infection prevention and control (IPC) procedures were in place to reduce the risk and spread of infection, including regular IPC audits.
  • There were arrangements in place to deal with medical emergencies.
  • Vaccines, medicines and emergency equipment were safely managed. There were clear systems in place relating to stock control.
  • The provider encouraged and valued feedback from patients and staff.
  • Staff treated patients with compassion, kindness, dignity and respect.
  • There was a leadership structure in place with clear responsibilities and roles of accountability to support good governance and management.

The area where the provider should make improvements are:

  • Continually review the risk assessment for defibrillator arrangements to ensure a defibrillator is accessible in case of a medical emergency.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 24 May 2018

During a routine inspection

We carried out an announced comprehensive inspection on 24 May 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 the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

MASTA Travel Clinic - Monument is a private clinic providing travel health advice, travel and non-travel vaccines, blood tests for antibody screening and travel medicines such as anti-malarial medicines to children and adults. In addition the clinic holds a licence to administer yellow fever vaccines. This location is registered with CQC in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines for the purposes of travel health.

The clinic is registered with the Care Quality Commission under the Health and Social Care Act 2008 to provide the following regulated activities:

  • Diagnostic and screening procedures
  • Treatment of disease, disorder or injury.

The nurse is the 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.

We received comments cards from 18 patients about the services they had received. These were all entirely positive about the clinic, their experience and the service they had received.

Our key findings were:

  • Each patient received an individualised travel health brief which was tailored to their specific needs and travel plans. The health brief outlined a risk assessment; all travel vaccinations that were either required or recommended, and specific health information including additional health risks related to their destinations with advice on how to manage common illnesses.
  • The clinic had clear systems to manage risk so that safety incidents were less likely to happen. The provider discussed any incidents with the wider corporate team where lessons learned were shared to improve their processes across locations.
  • The provider ensured that care and treatment was delivered according to evidence based guidelines and up to date travel health information.
  • Staff had the relevant skills, knowledge and experience to deliver the care and treatment offered by the service.
  • There was an infection prevention and control policy and procedures were in place to reduce the risk and spread of infection.
  • Vaccines, medicines and emergency equipment were safely managed. There were clear auditable trails relating to stock control.
  • Consultations were comprehensive and undertaken in a professional manner.
  • The service encouraged and valued feedback from patients and staff
  • Staff involved and treated patients with compassion, kindness, dignity and respect. Care Quality Commission comment cards completed by patients prior to our inspection were all positive about the standard of care received. They told us the nurses were caring, friendly, and professional.
  • There was a leadership structure in place with clear responsibilities, roles and systems of accountability to support good governance and management. Staff felt supported by the leadership team and worked well together as a team.

There were areas where the provider should make improvements:

  • Follow through with plans to ensure that risks associated with legionella are assessed and identified actions to mitigate risks are taken.
  • Continue to review arrangements in the waiting area in response to patient feedback.