Archived: Taylor-Mohrs Occupational Health Services

Updated 18 October 2018

Dr Richard Geoffrey Taylor is the provider trading as Taylor-Mohrs Occupational Health at 2 Clifton Park, Bristol BS8 3BS; the service is registered as a private doctor’s consultation service. The premises are leased and the landlord provides services such as reception staff and access to emergency equipment as part of the lease. The landlord also employs a building manager who ensures that all staff at the building are trained and updated in health and safety procedures and basic life support.

Taylor-Mohrs Occupational Health’s statement of purpose identifies the provision of occupational health services including immunisation to the general public. There are three doctors and one nurse working at the service supported by an administrative team. The provider also offers services which are not regulated by CQC such as occupational health reviews. The service is open at 2 Clifton Park Monday -Thursday 8.30am to 4.30pm and Friday 8.30am to1.00pm five days a week. All appointments must be pre-booked. All patients are required to complete a comprehensive health questionnaire/declaration prior to their appointment.

The service is registered to provide the following regulated activities:

Diagnostic and screening

Treatment of disease, disorder or injury

The service includes:

Travel advice and vaccinations

Health screening and occupational medical assessments

Referred blood collection service

We inspected Taylor-Mohrs Occupational Health on 20 August 2018. The inspection was led by a CQC inspector who had access to advice from a specialist advisor.

We informed NHS England, Health watch and the clinical commissioning group that we were inspecting the service; however, we did not receive any information of concern from them.

Prior to the inspection we received the pre-inspection information for the provider and reviewed the information available on their website.

During our visit we:

• Spoke with the provider and clinical staff.

• Reviewed records and documents.

• Reviewed comment cards where patients and members of the public 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 18 October 2018

We carried out an announced comprehensive inspection on 20 August 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 most areas 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.

Taylor-Mohrs Occupational Health Services provides an occupational health service, a travel vaccine service and a referred blood collection service (taking blood for testing at the request of other organisations) for people over 18 only. The service does not prescribe any medicines with the exception of malarone (a medicine used to prevent and treat malaria).

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Taylor-Mohrs Occupational Health Services are provided to patients under arrangements made by their employer/ a government department/an insurance company with whom the servicer user holds a policy (other than a standard health insurance policy. These types of arrangements are exempt by law from CQC regulation. Therefore, at Taylor-Mohrs Occupational Health Services, we were only able to inspect the services which are not arranged for patients by their employers/ a government department/an insurance company with whom the patient holds a policy (other than a standard health insurance policy).

A total of 50 people provided feedback about the service through the completion of comment cards. All of the comments were positive about the service; patients described the service as being professional and friendly, with several comments about patients being listened to and feeling very comfortable with the approach and manner to them from the staff.

Our key findings were:

• There was a transparent approach to safety with demonstrably effective systems in place for reporting and recording incidents.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• All consultation rooms were well organised and equipped, with good light and ventilation.
• There were systems in place to check all equipment had been serviced regularly.
• Clinicians regularly assessed patients according to appropriate guidance and standards such as those issued by the National Institute for Health and Care Excellence.
• The staff team maintained the necessary skills and competence to support the needs of patients.
• The staff team were up to date with current guidelines and were led by a proactive provider.
• Risks to patients were well managed for example, there were effective systems in place to monitor and improve the quality of patient records.
• The provider was aware of, and complied with, the requirements of the Duty of Candour.