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Inspection carried out on 30 August 2018

During a routine inspection

We carried out an announced comprehensive inspection on 30 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 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 provider Centre for Health and Human Performance Ltd has one location registered as CHHP Ltd in London. The service combines medical services, sports and exercise medicine, health improvement, disease prevention and screening. There is a fully equipped cardio-pulmonary exercise testing and fitness training laboratory in-house, and three treatment rooms. The services are provided by a team of doctors and other therapists.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines.

One of the owners is the 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.

Thirty three patients provided feedback about the service. All the comments we received were positive about the service, for example describing the therapists as excellent, welcoming and friendly.

Our key findings were:

  • The clinicians were aware of current evidence based guidance and had the skills and knowledge to deliver effective care and treatment.

  • The provider had systems in place to protect people from avoidable harm and abuse.

  • The provider had effective systems in place to record, monitor, analyse and share learning from significant events.

  • The service had arrangements in place to respond to medical emergencies.

  • There were arrangements in place for the management of medicines.

  • There was a clear vision to provide a personalised, high quality service.

  • The patient feedback we received in the course of the inspection indicated that patients were satisfied with the service they received.

  • Information about how to complain was available. The provider had not received any complaints about the service in the last year.

The areas where the provider should make improvements are:

  • Review systems and processes for quality improvement cycles such as completed clinical audits.

Inspection carried out on 27 February 2015

During an inspection looking at part of the service

During our inspection on 25 November 2013 we found that the provider had not taken adequate steps to ensure that each person who used the service was protected against the risks or receiving care or treatment that was inappropriate or unsafe. Some of the medicines and equipment that would be used to treat people experiencing a medical emergency were out of date and there was no procedure in place to check them on a regular basis.

At this inspection we found all emergency medicines we checked were in date and monthly checks were carried out by the manager. The provider had also purchased a new oxygen cylinder and attachments and had an annual service contract in place.

At this inspection we did not speak with people who use the service.

Inspection carried out on 20 August 2014

During an inspection looking at part of the service

During our inspection on 25 November 2013 we found that the provider had not taken adequate steps to ensure that each person who used the service was protected against the risks or receiving care or treatment that was inappropriate or unsafe. Some of the medicines and equipment that would be used to treat people experiencing a medical emergency were out of date and there was no procedure in place to check them on a regular basis.

There were not always effective systems in place to identify, assess and manage risks relating to the health, welfare and safety of people who used the service and others who may be at risk from the regulated activity being carried out. We found that the quality of service was monitored, however identified risks was not always acted upon.

At this inspection we found that although improvements had been made further improvements were necessary.

Inspection carried out on 25 November 2013

During a routine inspection

People's needs were assessed and treatment was delivered on an individual basis. People were fully involved in their treatment plan and received a clear verbal and written explanation prior to their first appointment, and at each consultation.

Steps were not taken to ensure that each person using the service was protected against the risks or receiving care or treatment that was inappropriate or unsafe. Staff were not always provided with suitable information. There were out of date medicines and equipment that would be used to treat people experiencing a medical emergency.

Overall, the provider ensured that service users and others who may be at risk of exposure to identifiable infection were protected.

Staff received appropriate training, professional development, supervision and appraisal. Staff were enabled to meet the professional standards which are a condition of their ability to practise.

The quality of the services provided were monitored and reviewed by audit, client satisfaction survey, and through staff meetings. However identified risks were not always acted upon. There were not always effective systems in place to identify, assess and manage risks relating to the health, welfare and safety of people using the service and others who may be at risk from carrying out the regulated activity.