23 August 2023
During a routine inspection
This service is rated as Good 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? – Good
We carried out an announced comprehensive inspection at Blackberry Clinic – Fareham on 23 August 2023. The service was registered with the Care Quality Commission (CQC) in July 2021. We carried out this first rated inspection as part of our regulatory functions. The inspection was undertaken to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
This service is registered with the Care Quality Commission (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 services, and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Blackberry Clinic – Fareham is registered with the CQC to provide the following regulated activities:
- Treatment of disease, disorder or injury.
- Diagnostic and screening procedures.
Therefore, we only inspected the health screening service, private GP and treatment of musculoskeletal, sports injury and ear wax removal.
Blackberry Clinic – Fareham is an independent service provider which provides treatments for acute and chronic pain, health screening, health assessment services and a range of specialist diagnostic services and treatments which includes x-rays, joint injections and physiotherapy. The service specialises in the treatment of muscle, bone and joint problems including back pain, repetitive strain and sports injuries, private GP appointments and ear wax removal.
The centre manager 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.
Our key findings were:
- There were systems to assess, monitor and manage risks to patient safety.
- The provider operated clear and effective systems to safeguard patients.
- Staff had the skills, knowledge, qualifications and experience to deliver effective care and treatment.
- Staff assessed patients’ needs and delivered care in line with current evidence-based guidance.
- Regular audits were completed to ensure and monitor quality and effectiveness of care and treatments.
- Information about services and how to complain was available and easy to understand.
- The provider was aware of and complied with the requirements of the Duty of Candour.
- The provider had facilities that were appropriate for the treatments offered and the provider was well equipped to meet patient’s needs.
- The provider had a range of policies and procedures in place to govern activity; staff were able to access these policies.
- Feedback was proactively sought from staff and patients and actions were taken to address any concerns raised.
The areas where the provider should make improvements are:
- Implement and embed the new process to request and maintain evidence of staff vaccinations.
- Improve the efficiency of the system and process to monitor emergency equipment.
- Take action to update the complaints policy and procedure to include reference to the Independent Sector Complaints Adjudication Service.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services