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Archived: Transform Medical Group (CS) Limited (Southampton)

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 6 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 6 December 2013, checked how people were cared for at each stage of their treatment and care and talked with staff. We reviewed information given to us by the provider.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that patients received. There was a system in place to identify, assess and manage risks to the health, safety and welfare of patients using the service and others.

Reasons for our judgement

Patients who use the service and staff were asked for their views about their care and treatment and they were acted on. There was an on- going survey which looked at outcomes such as quality of care, treatment and the information they received in order to make an informed choice. The manager told us this was carried out at six weeks following their treatment and after care. The manager told us any issues identified were discussed at their monthly governance meetings and followed up with an action plan. The feedback forms showed the patients expressed a high degree of satisfaction with their care and treatment. This included after care and follow up care they had received.

There was an internal health and safety auditing system that the staff followed. These included different aspects of the service and health and safety. Adverse incidents and accidents were logged and investigated. A sample of these seen included incidents after surgery such as wound infections and delayed healing. The manager said these were discussed at their scrutiny panel and an independent panel. Any actions or suggestions were incorporated into practices.

The provider had an effective system in place to identify, assess and manage risks to the health and safety. We observed access to clinical areas were restricted. There were risk assessments in place for substances that may be dangerous to health and these were stored securely.

The provider took account of complaints and comments to improve the service. The clinic had a complaints procedure and detailed information on how to raise a concern was available in the booklet issued to patients. The manager told us any complaints were followed up and patients were provided with feedback including how to escalate their concerns, should this not be resolved to their satisfaction.

Decisions about care and treatment were made by the appropriate staff at the appropriate level. Patients attended the clinic as self- referrals. Assessments, advice and treatment were provided by appropriately qualified staff including a surgeon and a clinical nurse. This ensured the patients were well informed and any risks were considered as part of care provision.