Archived: ToHealth Limited Also known as Waterloo Health Clinic

We carried out an announced comprehensive inspection on 30 April 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.

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.

The service has a registered manager. A registered manager is a person who is registered with the Care Quality Commission 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.

This provider offers private GP services, and vaccinations.

Seven patients provided feedback about the service on the Care Quality Commission comments cards, all the comments were positive.

Our key findings were:

• Policies and procedures were in place to support the delivery of safe care.
• The provider had a clear vision to deliver high quality care for patients.
• There were systems and processes in place for reporting and recording significant events and sharing lessons to make sure action could be taken to improve safety in the practice.
• The service had clearly defined systems, processes and practices to minimise risks to patient safety however on the day of the inspection some of the process had not been fully put into place, after the inspection we were provided with evidence to show all processes were implemented.
• The service had adequate arrangements to respond to emergencies.
• Staff were aware of and used current evidence based guidance relevant to their area of expertise to provide effective care.
• Staff had the skills and knowledge to deliver effective care and treatment.
• There was an effective system in place for obtaining patients’ consent.
• The service had systems and processes in place to ensure that patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
• The service had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management.
• The clinic was aware of and complied with the requirements of the Duty of Candour.

We identified areas where the service could improve and should:

• Review processes to devise and maintain a regular programme of premises checks, such as fire, health and safety, legionella, infection control and electrical safety.
• Review the business continuity plan.
• Review system for undertaking quality improvement for patients.
• Review staff training to ensure all staff undertake role specific training.