• Doctor
  • Independent doctor

THE GRANGE CLINIC LTD

Overall: Good read more about inspection ratings

1 Hoole Road, Chester, CH2 3NQ (01244) 350718

Provided and run by:
The Grange Clinic Limited

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about THE GRANGE CLINIC LTD on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about THE GRANGE CLINIC LTD, you can give feedback on this service.

25 April 2023

During an inspection looking at part of the service

This service is rated as Good overall (Previous inspection 25 April 2022 – Good with requires improvement in the safe key question). At our last inspection we rated the service as ‘Good’ overall and for providing effective, caring, responsive and well-led services. We rated the service as requires improvement for providing safe services because some of the systems and processes required to support safe practice had not been formalised and/or required development.

The key question inspected is rated: Are services Safe? – Good

We carried out this announced focused inspection of The Grange Clinic on 25 April 2023 to follow up on the safe key question and a breach of Regulation 12 of the Health and Social Care Act regulations. We found that improvements had been made and compliance with the regulation had been achieved.

Following our last inspection in April 2022 the provider was required to develop procedures to support the provision of safe care and treatment. These included; Carrying out a review of the policies and procedures for safeguarding children and vulnerable adults. Reviewing risk assessments and producing plans to detail how risks were managed. Introducing a formalised audit of infection prevention and control measures. Carrying out a risk assessment to demonstrate the emergency medicines required. Ensuring a system was in place for receiving and acting upon patient safety alerts. We had also found that there were areas where the provider should make improvements. These included: To assess the training needs of members of the non-clinical team and produce a training plan to ensure these are met. To consider a second stage to the complaints process to include adjudication.

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 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.

The Grange Clinic Ltd provides a range of non-surgical cosmetic interventions some of which are not within CQC scope of registration. Therefore, we do not inspect or report on these services.

The registered manager for the service is Aenone Harper-Machin. 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 demonstrated improvements to the systems and processes required to support safe practice.

  • The service provided care in a way that kept patients safe and protected them from avoidable harm.
  • There were systems to assess, monitor and manage risks to patient safety.
  • Staff had the information they needed to deliver safe care and treatment to patients.
  • The service had systems for the appropriate handling of medicines.
  • The service learned and made improvements when things went wrong.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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

25 April 2022

During a routine inspection

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Requires improvement

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 The Grange Clinic Ltd on 25 April 2022 as part of our inspection programme.

We rated the service as Good overall and for providing effective, caring, responsive and well-led services. We rated the service as requires improvement for providing safe services because some of the systems and processes required to support safe practice had not been formalised and/or required development.

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 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. The Grange Clinic Ltd provides a range of non-surgical cosmetic interventions some of which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The registered manager for the service is Aenone Harper-Machin. 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 service provided care in a way that kept patients safe and protected them from avoidable harm. However, some of the systems and procedures to support this needed to be developed.
  • Patients’ needs were fully assessed, and care and treatment were tailored to individual needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care and treatment.
  • The service organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • Leaders had the capacity and skills to provide good quality care and governe the service.

We found the following breach of regulations. The provider must:

  • Develop procedures to support the provision of safe care and treatment. To include; Carrying out a review of the policies and procedures for safeguarding children and vulnerable adults. Review assessments of risk and produce plans to detail how risks are mitigated. Introduce a formailsed audit of infection prevention and control measures and practices. Carry out a risk assessment to demonstrate the emergency medicines required. Ensure a system is in place for receiving and acting upon patient safety alerts.

The provider should make the following improvements:

  • Assess the training needs of members of the non-clinical team and produce a training plan to ensure these are met.
  • Consider a second stage to the complaints process to include adjudication.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care