We carried out a review of the data available to us about Bristol on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bristol, you can give feedback on this service.
We carried out an announced comprehensive inspection at Nomad Travel Clinic - Bristol 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.
Nomad Travel Clinic - Bristol 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. The clinic holds a licence to administer yellow fever vaccines; and in addition the service provides post-exposure Rabies treatment on behalf of Public Health England.
This location is registered with CQC under the Health and Social Care Act 2008 in respect of some, (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) but not all, of the services it provides. There are some general exemptions from regulation by CQC which relate to particular types of service and these are set out in of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Nomad Travel Clinic - Bristol services are provided to clients under arrangements made by their employer with whom the servicer user holds a policy (other than a standard health insurance policy). These types of arrangements are exempt by law from CQC regulation. Therefore, at Nomad Travel Clinic - Bristol we were only able to inspect the services which are not arranged for clients by their employers.
During the inspection we reviewed 53 completed CQC comment cards which described the service as efficient, carried out in a safe and hygienic environment. Clients said staff listened to them and were considerate, friendly, helpful, knowledgeable, caring and respectful.
Our key findings were:
• The clinic had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the provider learned from them and improved their processes.
• The provider routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines and up to date travel health information.
• Each client received an individualised travel health brief containing a risk assessment, health information including additional health risks related to their destinations; and a written immunisation plan.
• Staff involved and treated clients with compassion, kindness, dignity and respect. Care Quality Commission comment cards completed by clients prior to our inspection were all positive about the standard of care received.
• There was a leadership structure in place with clear responsibilities, roles and systems of accountability to support good governance and management. Staff felt supported by the leadership team and worked well together as a team across local branches when necessary.
• The provider was aware of the requirements of the duty of candour.
• Clinic staff were encouraged to plan and develop the service to meet local needs such as responding to local disease outbreaks and visiting schools to provide travel health talks.
We saw the following outstanding practice:
• The clinic provides the rabies post-exposure service for the local area, through a delegated arrangement, on behalf of Public Health England (PHE) for the benefit of patients. Nomad Travel Clinic is one of only two travel clinics in England who have this arrangement that benefits patients through ease of access to assessment and treatment when time is of the essence. Staff are trained to use the PHE Risk Assessment; hold stocks of rabies vaccines on site; and provide treatment directly to clients following an exposure incident without the need for prior contact with PHE or potential delays in accessing vaccines.
We carried out an announced comprehensive inspection on 10 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.
Background
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.
This location is registered with CQC, under the location name Bristol, 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 provider is TMB Trading Limited and is operated as a Nomad Travel clinic in Bristol. It 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.
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; Transport services, triage and medical advice provided remotely and Treatment of disease, disorder or injury. The lead nurse 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.
As part of our inspection we also asked for Care Quality Commission comment cards to be completed by clients prior to our inspection. We received 43 comment cards which were all positive about the standard of care received. Clients told us the care and treatment they received was excellent, efficient and caring with all staff being polite, knowledgeable, respectful and helpful.
Our key findings were: