This service is rated as
Good
overall.
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 at The Health Suite Limited on 10 May 2022. This is the first time this service has been inspected by the Care Quality Commission (CQC) following its registration as a new service in February 2020.
A director and GP at the location is the CQC registered manager. A registered manager is a person who is registered with the CQC 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.
Our key findings were:
- The provider protected patients from abuse and avoidable harm. They had systems and processes for monitoring and managing risk.
- There was a strong focus on providing care, treatment and support to achieve good outcomes for patients based on the best available evidence.
- The service worked within evidence-based practice, whilst providing individualised care.
- There was an established programme of quality improvement and clinical audit to demonstrate the efficacy of patient outcomes. There were proactive communication channels with the patients’ registered NHS GPs to ensure continuity of care.
- The provider gave patients follow up options for treatment or tests both on a private basis or by signposting to appropriate follow up via the NHS, further to an initial private consultation.
- We found that the service was caring and compassionate towards patients and we observed many positive comments received from those who had used the service.
- There was a strong, visible person-centred culture. The leadership team were motivated, passionate and inspired to offer care that was kind, accessible and respectful.
- Patients could access services in a way that promoted flexibility, choice and continuity of care
- Leadership and culture were used to drive and improve the delivery of high-quality person-centred care. Leaders worked closely with staff and others to make sure they prioritised compassionate and inclusive leadership. Staff said they worked well as a team, felt well supported and they had a common focus on improving the quality and sustainability of care and people’s experiences. Staff told us the provider was dedicated to providing an exceptional service for patients. The service had a strong focus on the needs of patients.
- The service had effective governance and assurance processes.
The areas where the provider should make improvements are:
- Develop the training matrix so that training records of staff training both employed and those with practising privileges are received and documented as completed and staff immunisations are all recorded.
- Demonstrate that actions from risk assessments and infection control audits are documented when completed.
- Provide leaflets are available in different languages.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care