Archived: Clari Health Travel Clinic Liverpool

Updated 27 February 2020

Clari Health Travel Clinic Liverpool has been operating since July 2019. It is an independent health service, whereby clients pay for services. Details of the pricing structure are available on the provider’s website and at the time on consultation.

The service is located at 88 Rodney Street, Liverpool, Merseyside L1 9AR, which is owned by a private landlord. The provider leases a room, which is based on the ground floor of the premises. Upon entering the premises, there is a large reception area which is manned by staff who are not employed by Clari Health Ltd. There are no onsite parking facilities, however, there is ample payable car parking nearby.

Service users are required to make an appointment either online via the website or by contacting the service by telephone. The service does not accept walk-in appointments. Excluding bank holidays, the opening hours of the clinic are:

Tuesday 09:00 to 17:30

Thursday 18:00 to 21:00

Saturday 09:00 to 13:00

If a client requests an appointment outside of these times, they are signposted to alternative services.

The service provides a personalised risk assessment, travel health advice and travel medicines and vaccinations, including those for the prevention of yellow fever. Seasonal influenza vaccination is also available. Services are provided by female registered nurses who are trained in travel health. The nurses are supported by the medical director (a qualified doctor) and a management team. The provider had commissioned the services of a new management team, who were based overseas. However, there is close and regular communication between all staff. The customer call centre is also based overseas.

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

• Diagnostic and screening

• Treatment of disease, disorder or injury

Clari Health Ltd is the provider of the service Clari Health Travel Clinic Liverpool. Full details of the service are available on their website https://clarihealth.com/uk/clinic/liverpool-travel-clinic/.

How we inspected this service

We inspected this service on 23 January 2020. Before visiting we reviewed a range of information we hold about the service, also information which was provided by the service pre-inspection, the provider’s website and service users’ comments which were available on an intranet review platform.

During the inspection:

•we spoke with staff

•reviewed CQC comment cards where service users shared their views

•reviewed key documents which support the governance and delivery of the service

•made observations about the areas the service was delivered from.

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 27 February 2020

This service is rated as Good overall. (This service has not previously been inspected by the Care Quality Commission.)

The key questions are rated as:

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 Clari Health Travel Clinic Liverpool on 23 January 2020, as part of our inspection programme to rate independent health providers.

Clari Health Travel Clinic Liverpool is an independent provider of travel related services to adults and children. The service provides a range of travel related health advice, treatments and vaccinations, including those for the prevention of yellow fever.

This service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some general exemptions from regulation by CQC which relate to particular types of service and these are set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Some services provided for clients under arrangements made by their employer, a government department or an insurance company are exempt by law from CQC regulation.

There is a registered manager for the service. 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.

As part of our inspection we ask for CQC comment cards to be completed by clients. We received six comment cards, which were all complimentary and positive about the service they received. The travel health nurses were praised for their efficient, professional and friendly approach and the information provided.

Our key findings were :

• The service provided care in a way that kept clients and staff safe and protected from avoidable harm.
• The governance arrangements in place supported safe and effective service delivery and treatment of clients.
• There were systems and processes in place to support infection prevention and control; which included audit and cleaning schedules.
• There were safe and effective systems in place for the management of medicines and temperature sensitive vaccines.
• Staff had received training appropriate for their roles and were knowledgeable about travel health.
• 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.
• Clients’ records were stored in line with the General Data Protection Regulation (GDPR).
• Information was submitted to the National Travel Health Network and Centre (NaTHNaC) in line with guidance, such as that relating to yellow fever vaccinations.
• The provider showed a commitment to learning and improving the service. They had learned from issues raised at inspections of some of their other travel clinics.
• Feedback from clients was complimentary and positive about the service, care and treatment they received.

There were areas where the provider could make improvements and should:

• Review and improve the adults’ and children’s safeguarding policies to incorporate clear details of who staff should contact in the event of a safeguarding incident.
• Review and improve the arrangements regarding use of the defibrillator located on the premises and undertake a risk assessment in relation to this.
• Review and improve the location of sharps bins, out of reach of children, to safeguard clients from risk.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care