23 September 2019
During a routine inspection
This service is rated as Good overall. This service registered with the Care Quality Commission in 2018 and this inspection on 23 September 2019 was the service’s first inspection.
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at The Regenerative Clinic as part of our inspection programme and in response to concerns we received. The service was registered by the CQC on 17 July 2018 and had not yet been inspected.
The Regenerative Clinic is an independent health service which provides treatment for orthopaedic injuries, sports injuries, arthritis and other degenerative conditions. Although it also offers conventional surgery, its main focus is on regenerative treatments such as Lipogems and Platelet Rich Plasma (PRP) therapy.
Our key findings were:
•The service had systems to assess, monitor and manage risks to patient safety. However, the service did not ensure all staff, in particular non-clinical staff had undergone the necessary training to underpin the safety systems and processes in place. The service learned from, and made changes as a result of, incidents and complaints.
•The service assessed need and delivered care in line with current legislation, standards and evidence-based guidance. There was a programme of regular audits in place through which it reviewed the effectiveness and appropriateness of the care provided.
•The service treated patients with kindness, respect and compassion.
•The service organised and delivered services to meet patients’ needs. Patients were able to access services within an appropriate timescale and complaints were managed appropriately.
•There was a clear leadership structure in place, and staff told us that they felt able to raise concerns and were confident that these would be addressed.
•Responsibilities, roles and systems of accountability supported good governance and management.
The areas where the provider should make improvements are:
•Ensure the provider and Registered Persons are aware of their obligation to inform the Care Quality Commission of certain notifiable incidents that occur whilst a regulated activity is being carried out as set out in the Care Quality Commission (Registration) Regulations 2009.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care