Coloplast Care Nursing and Telehealth Service is part of a larger multinational commercial company and has been providing products and services to support people across England with intimate healthcare needs support since 1978. The Coloplast Nursing service provides community and hospital based specialist stoma/ostomy care, bladder and bowel management/continence care and advice to primarily adult patients across England. The service occasionally provides paediatric care but only with the attendance of a paediatric nurse from an external organisation. The provision of care is arranged through localised agreements with both acute and primary care service providers and local clinical commissioning groups (CCGs). Specialist nurses work with partner NHS providers and CCGs across 37 geographic locations. The nurses are integrated into the provider NHS organisations, by means of honorary contacts, and work to local pathways and policies.

The service first registered with the Care Quality Commission (CQC) in September 2011 to provide the following regulated activity:

• treatment of disease, disorder or injury.

There has been a registered managers in post since 2011.

The last inspection was a comprehensive inspection in 2016 where we did not rate the service.

We did make recommendations.

The service should;

• Review information provided to staff on duty of candour to ensure there is a consistent level of understanding.
• Review infection control arrangements to ensure these are up to date.
• Review how assurance can be provided to senior management that all staff have completed the necessary nursing standards as set by Coloplast Ltd.
• Review how the service can demonstrate that it is providing good patient outcomes.

During this inspection we saw that the service had addressed these areas.