Archived: The Globe Travel Health Centre

Updated 10 June 2019

The head office for the provider Vaccination UK Limited is based in Hertfordshire. The management team and Clinical Director are based there. The Globe Travel Health Centre is located at 26 Cattle Market Street, Norwich, Norfolk, NR1 3DY. The building consists of a waiting room, toilet and consultation room where the vaccinations are undertaken.

The Globe Travel Health Centre is registered with the Care Quality Commission under the Health and Social Care Act 2008 to provide the following regulated activities:

• Diagnostic and screening procedures.
• Treatment of disease, disorder or injury.

The service offers travel vaccination and related health care advice.

The Clinical Director was the registered manager at the time of inspection. (A registered manager is an individual registered with CQC to manage the regulated activities provided).

The service is predominantly open between Monday and Friday each week and two Saturdays per month. The clinic times are dependent on need and the opening hours were discussed and changed each month. The clinics were flexible and adapted to patient needs and would often open earlier or stay open later to fit with patient’s work patterns.

How we inspected this service

Before visiting, we reviewed a range of information we hold about the service. We also asked the service to complete a provider information request. During our visit we:

• Spoke with the Clinical Director.
• Spoke to one travel nurse and the administration manager.
• Reviewed a sample of the personal care or treatment records of patients.
• Looked at information the clinic used to deliver care and treatment plans.
• Reviewed comment cards where patients and members of the public shared their views and experiences of the clinic.
• Spoke to patients following their consultations.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 10 June 2019

The Globe Travel Health Centre is a private clinic providing travel health advice, travel and non-travel vaccines, blood tests for antibody screening and travel medicines such as anti-malarial medicines to children and adults. In addition, the clinic holds a licence to administer yellow fever vaccines.

This location is registered with CQC in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines for the purposes of travel health. The clinic is registered with the Care Quality Commission under the Health and Social Care Act 2008 to provide the following regulated activities:

• Diagnostic and screening procedures.
• Treatment of disease, disorder or injury.

At the time of the inspection, the Clinical Director was 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.

As part of our inspection we asked for Care Quality Commission comment cards to be completed by patients prior to our inspection. We received 23 completed comment cards which were mainly positive about the standard of care received. Patients reported staff were kind, knowledgeable, friendly, professional and caring. There were several comments relating to how informative the consultation process was. One negative comment card was already being dealt with as a complaint by the service.

Our key findings were:

• The service had systems to safeguard children and vulnerable adults from abuse.
• The provider completed regular clinical and non-clinical audits to assess and monitor performance.
• Patients we spoke with told us they were treated with care and compassion and satisfied with the service offered.
• We received 23 CQC patient comment cards, 22 of those where wholly positive and one card was negative.
• Patients were able to book online, over the telephone or walk into the clinic during the opening hours.
• Patients were able to be seen at any of the provider’s locations.
• The provider had an induction programme for all newly appointed staff. New nurses received a tailored induction course depending on their previous travel health experience.
• Staff we spoke with told us they felt valued members of the staff team and were happy to work for the provider.

The areas where the provider should make improvements are:

• Embed new arrangements for managing clinical waste.

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