Archived: Clari Health Travel Clinic Edgbaston Birmingham

Updated 3 December 2019

Clari Health Ltd is the provider of Clari Health Travel Clinic Edgbaston Birmingham which is situated on 38 Harborne Road, Birmingham, B15 3HE.

Clari Health Ltd consists of three other locations located in Leeds, Liverpool and London. As part of this inspection we did not visit any of the other locations.

The service provides a personalised risk assessment, travel health advice and travel vaccinations, including those for the prevention of yellow fever. Seasonal influenza vaccination is also provided to those who are unable to receive it from their NHS GP. Services are provided by two female registered nurse who are trained in travel health. The nurses are supported by a qualified doctor (medical director) and a management consultant, who are contracted by the provider.

The clinic is open:

Tuesdays 9am to 1pm

Wednesdays 5.30pm to 8.30pm

Fridays 9am to 5pm

Saturdays 9am to 5pm

Service users are required to make appointments either online by accessing Clarie Health Ltd website or by contacting the clinic by phone. The service does not accept walk-in appointments. The nurses see between 50 and 60 clients per month.

The service is registered with the CQC under the Health and Social Care Act 2008 to provide the following regulated activities:

• Diagnostic and screening procedures
• Treatment of disease, disorder or injury

How we inspected this service

Before visiting, we reviewed a range of information we held about the clinic. We also reviewed any information that the provider returned to us, the providers’ website and any links to social media.

During our visit we:

• Spoke with members of the clinical team as well as members of the management team.
• Reviewed comment cards where patients shared their views and experiences of the service.
• Looked at information the clinic used to deliver care and treatment plans.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 3 December 2019

We carried out an announced comprehensive inspection at Clari Health Travel Clinic Edgbaston, Birmingham as part of our inspection programme.

Clari Health Travel Clinic Edgbaston Birmingham provides travel vaccination service, including those for the prevention of yellow fever. Seasonal influenza vaccination is provided to those who are unable to receive it from their NHS GP. The service provides information on vaccines that help prevent the most common diseases as well as health and prevention information on major travel diseases. Services are provided by two female registered nurses who are trained in travel health. Nurses are supported by a qualified doctor (medical director) and a management consultant, who are contracted by the provider.

The Operations manager 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.

We received 21 completed Care Quality Commission (CQC) comment cards which were all positive. For example, patients found it easy to access services, staff were friendly; helpful and provided wide-ranging travel health advice. Patients felt staff took a genuine interest in their well-being and services were very efficient

Our key findings were :

• There were arrangements in place to keep clients safeguarded from abuse. Nurses completed safeguarding training appropriate to their role and demonstrated awareness of what to do if they had concerns regarding the wellbeing of a child or adult.
• Oversight of infection prevention and control (IPC) was not entirely embedded. Following our inspection, the provider supplied evidence which showed actions had been taken to address identified issues.
• Agreements regarding the use of emergency equipment were not clear or embedded in line with the providers policy and procedures. Following our inspection, the provider supplied evidence which showed discussions had been held to provide clarity around clinical emergency procedures.
• Vaccines and medicines were not stored securely. Following our inspection, the provider supplied evidence which showed issues relating to the security of vaccines had been addressed.
• The service was actively involved in quality improvement activity. Clients’ needs were assessed, and treatment delivered in line with current legislation, standards and guidance, such as National Travel Health Network and Centre (NaTHNaC) travel guidance.
• The nurses had completed most mandatory training and we saw evidence of training scheduled where training had been booked as part of an induction programme.
• Clients’ records were stored in line with the General Data Protection Regulation (GDPR). Staff demonstrated awareness of data protection; and we saw that training had been scheduled as part of nurse’s induction programme.
• Nurses demonstrated awareness of how to obtain consent to care and treatment in line with legislation and guidance.
• Completed Care Quality Commission (CQC) comment cards as well as feedback received through online surveys were positive about the level of care as well as quality of service received.
• The provider had a governance framework to manage activities; however, oversight of some systems and processes were not carried out effectively and processes such as the providers risk assessment and management policy was not embedded and clarity amongst staff was limited.

The areas where the provider should make improvements are:

• Improve recording of consent to care and treatment in line with legislation and guidance.
• Continue working towards completing mandatory training identified by the provider.
• Maintain oversight of governance arrangements to monitor safety using information from a range of sources.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care