Archived: MyHealthcare Clinic - Wandsworth

We carried out an announced comprehensive inspection on 9 January 2018 and 15 January 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 providing well-led care in accordance with the relevant regulations

As part of our inspection we asked for CQC comment cards to be completed by patients prior to our inspection. We received 21 comment cards which were all positive about the standard of care received across all of the services offered. We spoke with three patients during the inspection whose views also reflected positive experiences of using the services.

Our key findings were:

• The provider had a vision to deliver high quality care for patients.
• There were systems and processes in place for reporting and recording significant events and sharing lessons to make sure action could be taken to improve safety in the service.
• The service had clearly defined systems, processes and practices to minimise risks to patient safety.
• The service had adequate arrangements to respond to emergencies and major incidents.
• Staff were aware of and used current evidence based guidance relevant to their area of expertise to provide effective care.
• Staff had the skills and knowledge to deliver effective care and treatment.
• Staff sought and recorded patients’ consent to care and treatment in line with legislation and guidance.
• 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 had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management.
• The service had systems in place to collect and analyse feedback from patients.
• Governance systems required improvement to ensure audits were undertaken regularly and were used to drive improvements.

There were areas where the provider could make improvements and should:

• Review the service’s audit protocols to ensure audits of various aspects of the service, such as radiography, clinical treatment effectiveness and infection prevention and control are undertaken at regular intervals to help improve the quality of service provided. The service should also ensure that where appropriate audits have documented learning points and the resulting improvements can be demonstrated.
• Review the service’s protocols for recording in the patients’ dental care records or elsewhere the reason for taking the radiograph, the reporting and quality of the radiograph giving due regard to the Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) 2000.
• Review the protocols and procedures for use of X-ray equipment taking into account Guidance Notes for Dental Practitioners on the Safe Use of X-ray Equipment.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice