Jenhams Clinic Ltd

Updated 1 October 2019

We carried out an announced comprehensive inspection of Jenhams Clinic Ltd on 20 February 2018. Jenhams Clinic provides independent travel health advice, travel and non-travel vaccinations, skin tag removal, ear irrigation and blood tests. People of all ages intending to travel abroad can seek free advice regarding health risks and receive both information and necessary vaccinations and medicines. The clinic is also a registered Yellow Fever vaccination centre.

The clinic is run from 45 South Street, Dorking, Surrey, RH4 2JX.

Opening times are:

Monday 9am-5.30pm

Tuesday 9am-5.30pm

Wednesday 9am-4pm

Thursday 9am-5.30pm

Friday 9am-4pm

Saturday 9am-1pm

The clinic is located in a converted building in the centre of Dorking. The building has wheelchair access and two consulting rooms, one accessible from the ground floor and another up a small flight of steps. Where required the majority of treatments can be performed in the ground floor room if the client is unable to access the first floor room.

Prior to the inspection we gathered and reviewed information from the provider. There was no information of concern.

During our visit we:

• Spoke with the receptionist and both the travel nurses one of whom is the registered manager.
• Reviewed comment cards where clients shared their views and experiences of the service.
• Looked at documents the clinic used to carry out services, including policies and procedures.

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 1 October 2019

We carried out an announced comprehensive inspection on 13 August 2019 as part of our inspection programme, under Section 60 of the Health and Social Care Act 2008. 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.

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. Jenhams Clinic provides skin tag removal and ear irrigation which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

Jenhams Clinic provides independent travel health advice, travel and non-travel vaccinations, skin tag removal, ear irrigation and blood tests. People of all ages intending to travel abroad can seek free advice regarding health risks and receive both information and necessary vaccinations and medicines. The clinic is also a registered Yellow Fever vaccination centre.

The service is provided by two nurses and a part-time nurse who specialises in skin tag removal. A GP works remotely to provide medical support to the service. The clinic staff hold Diplomas of Travel Medicine from the Royal College of Physicians and Surgeons and are members of the British Global and Travel Health Association.

The clinic is registered with the Care Quality Commission to provide the following regulated activities: Treatment of disease, disorder or injury.

One of the nurses is the nominated individual who is also registered with Care Quality Commission as 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 received written feedback from 40 people about the clinic. All replies were very positive. Comments included an excellent service, good advice, informative, safe and hygienic environment. People felt staff were friendly, knowledgeable and professional.

Our key findings were:

• Staff had the relevant skills, knowledge and experience to deliver the care and treatment offered by the service.
• The service was offered on a private, fee paying basis only.
• The clinic had good facilities, and was well equipped, to treat clients and meet their needs.
• Assessments of a client’s treatment plan were thorough and followed national guidance.
• Clients received full and detailed explanations of any treatment options.
• The service had systems in place to identify, investigate and learn from incidents relating to the safety of clients and staff members.
• There were effective governance processes in place.
• There were processes in place to safeguard clients from abuse.
• There was an infection prevention and control policy; and procedures were in place to reduce the risk and spread of infection.
• The service encouraged and valued feedback from clients and staff. Feedback from clients was positive.
• The provider shared knowledge with the wider community through journals, attending education events and training and networking with other clinical professionals specialising in travel.
• The provider had clear systems and processes in place to ensure care was delivered safely and good governance and management was supported.
• The service completed a number of clinical and non-clinical audits to assess performance and ensure care provided was safe. These audits were reviewed and actions taken where necessary.