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Inspection Summary


Overall summary & rating

Updated 1 August 2018

We carried out an announced comprehensive inspection on 19 June 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.

Our key findings were:

  • The service provided immunisation against chicken pox (for children) and minor surgery (lumps and bumps). This was a small aspect of the service which predominantly provided other cosmetic services out of the scope of CQC registration.
  • There were systems in place for the management of significant events and incidents. Risks to patients were assessed and managed.
  • The provider had arrangements for the safe management of medicines.
  • There was a process in place to ensure that care and treatment was delivered in accordance with evidence based guidelines.
  • Staff demonstrated that they understood their responsibilities and all had received training on safeguarding children and vulnerable adults relevant to their role.
  • Comment cards highlighted that patients appreciated the care provided by the doctors and staff were described as friendly, kind, caring and helpful.
  • The provider had effective systems for obtaining consent and patient information was appropriately documented.
  • There was evidence that the service responded positively to complaints and learning was shared with staff to improve the quality of the service.
  • There was a leadership structure with clear responsibilities and systems of accountability in place to support the governance arrangements.
  • The service had not received any complaints in the last 12 months but there was a process in place to manage complaints.

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

  • Ensure effective processes are in place to inform the service users registered GP (with service user consent) of any relevant surgical procedure or treatment received at the service.
Inspection areas

Safe

Updated 1 August 2018

Effective

Updated 1 August 2018

Caring

Updated 1 August 2018

Responsive

Updated 1 August 2018

Well-led

Updated 1 August 2018