Archived: Clari Health Travel Clinic Edgbaston Birmingham

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