Old Orchard Consulting Rooms

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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

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this. The service now included written consent forms completed by people using the service as part of the clinical record and could provide evidence of audits of treatment outcomes.

At our last assessment, we rated this key question as Requires Improvement. At this assessment, the rating has changed to Good.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Clinicians carried out a detailed assessment of people’s needs and documented this in the person’s clinical record, in the form of a letter, following the consultation. Records we reviewed as part of this assessment showed people were involved in any assessment of their needs and goals. Reception staff discussed any specific individual needs, such as the requirement for longer appointments with the person when booking their appointment.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The service was provided by NHS consultant-grade clinicians on a private basis. Systems were in place to document that the clinicians were up to date with evidence-based guidance and legislation. Clinical records we saw demonstrated care was provided in line with current guidance. The clinicians shared their annual appraisal records with the service manager, which included any recent professional education and development in relation to their specialist field.

The service worked well across teams and services when appropriate.

Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. The service worked with other services, for example, communicating with people’s NHS GP when appropriate. The service was able to direct people to diagnostic services (for example, for blood tests) or an independent pharmacy if required.

The service supported people to manage their condition and in this context their health and wellbeing. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

Clinicians provided appropriate lifestyle and preventative advice to people as appropriate to their condition, for example, dietary advice and advice on post-operative recovery as appropriate.

The service routinely monitored people’s care and treatment. They ensured that outcomes were positive and consistent, and that they met people’s expectations.

The service gathered feedback from people to understand people’s experience of the service and satisfaction with treatment outcomes. Since our previous inspection, the service had reviewed the scope to audit its work. In the last 12 months, the service had audited hand hygiene practices and infection control. It also obtained evidence of relevant clinical audits of treatment outcomes that had been carried out by the clinicians, including post-operative recovery audits.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood and applied legislation relating to consent and this was clearly recorded. The service used written consent forms as part of people’s treatment plans. Capacity and consent were clearly recorded. We reviewed a sample of completed consent forms which were specific about the treatment, risks and had been completed by the person. Clinicians were trained on their roles and responsibilities under the Mental Capacity Act (2005).