We carried out an announced comprehensive inspection on 9 May 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?
Our findings were:
Are services safe?
We found that this service was providing safe care in accordance with the relevant regulations.
Are services effective?
We found that this service was providing effective care in accordance with the relevant regulations.
Are services caring?
We found that this service was providing caring services in accordance with the relevant regulations.
Are services responsive?
We found that this service was providing responsive care in accordance with the relevant regulations.
Are services well-led?
We found that this service was not providing well-led care in accordance with the relevant regulations.
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The service mainly provides pre-employment health checks commissioned by private companies.
We received nine Care Quality Commission comment cards from patients who used the service; all were positive about the service experienced and reported that the service provided high-quality care.
Our key findings were:
- The service had some systems to manage risks, including a clear system to manage significant events and safety alerts. However, the service did not have an effective stock management system in place. Following the inspection the provider forwarded a comprehensive stock management policy.
- The service did not have adequate infection prevention and control arrangements in place.The service did not have an effective equipment calibration system in place. Following the inspection the provider demonstrated that the infection control processes had been adequately revised.
- The service offered a chaperone to patients who were undergoing intimate examinations. We found that persons used as chaperones by the service did not have chaperone training, or a Disclosure and Barring Service (DBS) check. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable). However, the chaperone did have an awareness of the requirements of the role. Immediately following the inspection the provider forwarded a DBS check undertaken by the chaperone.
- Comments cards indicated that patients were treated with compassion, kindness, dignity and respect.
- Information on how to complain was available and easy to understand.
- The service carried out appropriate referrals to patients’ NHS GP when additional treatment was required.
- The doctor had a vision to deliver high-quality care for patients.
- The service had systems and processes in place to ensure that patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
- The service offered a flexible range of appointments and treatments.
We identified regulations that were not being met and the service must:
- Establish effective systems and processes to ensure a system of quality improvement and good governance in accordance with the fundamental standards of care.
You can see full details of the regulation not being met at the end of this report.