Just Health Also known as SSYNS LIMITED

Updated 15 February 2023

Just Health is registered with the CQC as an independent healthcare service for regulated activities from the Just Health clinic, located at 156 Colne Road, Burnley, Lancashire, BB10 1DT.

The provider, SSYNS Limited employs a private GP and a registered pharmacist who is also trained as a non-medical prescriber. The provider offers a range of services that require a fee to be paid. These include non-therapeutic circumcision for baby boys up to the age of 14 months, private GP services, and private treatment for hay fever.

The web address for the service is www.just-health.co.uk

The service is located within an older stone building. This had been adapted to provide an accessible service to people. The refurbishment of the building retained some of the original features, allowed access to those who had mobility issues, and offered spacious clinical rooms.

The service is registered with the CQC to provide the following regulated activities:

Surgical procedures

Treatment of disease, disorder and injury

Diagnostic and screening procedures

The provider also offered some services that were outside the scope of CQC registration and these included offering a range of health care medicals by hosting a network of medics to support people nationally.

Regulated activities are undertaken by the GP and the pharmacist who is registered with the General Pharmaceutical Council (GPhC). The pharmacist is registered as a non-medical prescriber and can therefore prescribe treatments for hay fever.

The website for www.just-health.co.uk allows people to book appointments online or via the telephone. The website states telephone contact availability is from between 8am and 6pm daily. The Just Health clinic opens in response to patient demand for a service and usually offers the circumcision service on the first Monday of each month.

How we inspected this service:

As part of the inspection we reviewed some of the service’s policies, procedures and other documentation and carried out a site visit to the location of the service where we spent time with the registered manager and the private GP.

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 15 February 2023

The service is rated as good overall

We carried out an announced follow up inspection at Just Health on 19 January 2023. The ratings for each of the key questions is:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good (following our previous inspection in May 2022)

Are services responsive? – Good

Are services well-led? – Good

Following our previous inspection on 17 May 2022, the practice was rated requires improvement. overall and for key questions safe and well led. The key questions effective, caring and responsive were rated good. We issued the practice with a requirement notice for regulation 17(1) Good governance. This inspection identified improvements in all areas noted at the inspection in May 2022.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Just Health on our website at www.cqc.org.uk

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Just Health provides a range of driver medical checks such those required to drive a heavy good vehicle (HGV) or a taxi. The activities undertaken in relation to this type of service are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

Mr Yasir Jaleel is the nominated individual and the registered manager for the provider SSYNS Limited. 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.

Our key findings were:

• The provider offered a range of different services. Some of which were not within the scope of CQC registration.
• Those services that were within CQC scope were offered on a private, fee-paying basis only, and were accessible to patients who chose to use them.
• Services offered at the time of this inspection that were within the scope of registration were male infant non-therapeutic circumcisions and hay fever treatment. The website offered comprehensive information about these services and included details of the parameters of the services offered and the associated fees.
• Circumcision procedures were safely managed and there were effective levels of patient support and post-operative care.
• Systems to confirm parental identity and obtain written consent for the circumcision service was effective. Written consent was also obtained for the provision of the hay fever treatment.
• The service employed a small stable staff team. Team members spoken with were aware of their own role and responsibilities and told us they felt supported.
• The registered manager told us about the future plans for the service, and these included offering micro-ear suctioning and travel vaccinations.

We found that the issues identified at inspection in May 2022 had been addressed. These included:

• Staff recruitment records now complied with legislative requirements and staff risk assessments were now in place as appropriate.
• Evidence was available to demonstrate staff had received health and safety training as well as training in safeguarding and equality and diversity. Staff had also had an annual appraisal.
• A comprehensive range of policies and procedures were available and these included responding to a medical emergency, a recruitment policy and a business continuity plan.
• Improvements had been made to the infection control protocols and the sharps bin was clean, wall mounted, signed and dated
• Systems to monitor service provision in accordance with the service’s quality statement had been implemented.

In addition the areas we identified where the provider should improve had been addressed, for example:

• A system to monitor and record the expiry dates of the few medicines stocked by the service was in place.
• A risk assessment was implemented to mitigate the potential risk of carrying a small child up and down stairs following a surgical procedure.
• Patients consent was obtained to facilitate appropriate sharing of information with the patient’s NHS GP.
• An in-house system to request patient feedback was in the early stages of development.

The areas where the provider should make improvements are:

• Develop further as planned the in-house patient questionnaire.
• Implement the planned clinical audits.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services