13 September 2022
During a routine inspection
This service is rated as Choose a rating 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? – Requires improvement
We carried out an announced inspection at The Coach House. We carried out this inspection as part of our inspection programme following the registration of a new service.
The service is registered for treatment of disease, disorder and injury and primarily provides services to people seeking weight management including consultations and treatment.
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. The Coach House provides a range of non-surgical cosmetic interventions, for example fat freezing which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.
The owner of the organisation is the registered manager. 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.
We asked for feedback from patients via the CQC website. Four people provided a response. Responses were positive and patients highlighted the service provided good communication.
Our key findings were:
- The provider had safe systems and processes to manage patients.
- There was a culture of openness and honesty throughout the organisation.
- There was a lack of oversight of the service in terms of governance.
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
- Maintain complete medical records for all patients
- Review and update policies and guidelines to reflect the services provided.
- Strengthen leaders’ oversight of the governance of the service.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services