Archived: Canary Wharf Also known as Nomad Canary Wharf Travel Clinic

Updated 2 July 2019

The service is a private travel clinic located in Canary Wharf, London. The service is a location for the provider TMB Trading Limited, who has owned Nomad travel stores and clinics since October 2016. TMB Trading Limited manages 10 travel clinics across England and Wales.

The service provides travel health advice and consultations, travel and non-travel vaccines, blood tests for antibody screening and travel medicines such as anti-malarial medicines to children and adults. The service also holds a licence to administer yellow fever vaccines.

The service is open on Tuesdays and Thursdays from 11.30am to 8pm and Wednesdays from 9am to 5.30pm, and there is a central customer service team which manages appointment bookings.

The service employs four nurses, a pharmacist, and store staff members (administrative staff).

The service is registered with the CQC to provide the following regulated activities: diagnostic and screening procedures; transport services, triage and medical advice provided remotely; and treatment of disease, disorder or injury.

The lead nurse at the service is the CQC registered manager. A registered manager is a person who is registered with the CQC 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.

The clinical operations manager for the provider, who also works as a nurse at the service, is the CQC nominated individual. A nominated individual is a person who is registered with the CQC to supervise the management of the regulated activities and for ensuring the quality of the services provided.

We carried out this inspection as part of our comprehensive inspection programme of independent health providers.

Our inspection team was led by a CQC lead inspector, who was supported by a practice nurse specialist advisor.

The inspection was carried out on 30 May 2019. During the visit we:

• Spoke with a range of staff, including the CQC nominated individual and registered manager, both of whom also work as nurses in the travel clinic, the pharmacist for the provider and the store manager for the service.
• Reviewed a sample of patient care and treatment records.
• Reviewed comment cards in which patients shared their views and experiences of the service.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 2 July 2019

This service is rated as Good overall.

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 of Canary Wharf on 30 May 2019 as part of our inspection programme.

We had previously carried out an announced comprehensive inspection of the service on 4 April 2018 and found that it was compliant with the relevant regulations.

The service is a private travel clinic located in Canary Wharf, London.

Our key findings were:

• The service had systems to assess, monitor and manage risks to patient safety, and reliable systems for appropriate and safe handling of medicines.
• The service learned from, and made changes as a result of, incidents and complaints.
• The service assessed need and delivered care in line with current legislation, standards and evidence based guidance, and reviewed the effectiveness and appropriateness of the care provided.
• Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• The service treated patients with kindness, respect and dignity, and patient feedback was positive about the service.
• The service organised and delivered services to meet patients’ needs. The service also carried out off site visits, for example to schools and offices, and had policies and processes in place to support these visits.
• There was a clear leadership structure in place and staff felt supported by management.
• The service proactively sought feedback from patients and staff, which it acted upon.
• The service had effective oversight of the clinical care provided to patients.
• The service had a governance framework in place which supported the delivery of quality care, and had established effective processes for managing risks, issues and performance.

The areas where the provider should make improvements are:

• Review policies to consider adding a next review date, as well as being dated and version-controlled, to assist with updating information.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care