Olive Medical Practice

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

At our last assessment, we rated this key question as inadequate. This rating remains in place, and all scores remain the same. This assessment only focused on the circumcision clinic aspect of the service, and only relevant quality statements were assessed.

The service was in breach of legal regulation in relation to the need for consent.

This service scored 42 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We only assessed the circumcision clinic aspect of this quality statement.

The practice had a consent policy, but this did not give sufficient information and guidance. It mentioned a patient giving consent, but it did not mention the need for 2 parents to give their consent. This is required under UK law and British Medical Association guidance. There was no guidance regarding what action to take if only 1 parent was present, if 2 parents disagreed about providing their consent for the procedure to be carried out, or if someone other than the parent attended.

The practice had a circumcision clinic introduction document stating, “Both parents need to be present to sign the consent form”. This was not happening consistently. The circumcision clinic consent form did not prompt 2 parents to sign. Of the 22 records we examined, the names and signatures of 2 people were present on only 9 consent forms. The records did not confirm these people were the parents. On 5 documents there appeared to be a 2nd signature, but it was not recorded who the 2nd signatory was. On 5 records there was reference to a video call, but the name of the person the call was with was not recorded, nor was any mention of consent.

The GP and nurse who ran the clinic told us verbally that social services were involved if there was only 1 parent, but they had no documentary evidence of this. None of the records we examined mentioned any social services involvement.