28/05/2019
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 of Bath on 28 May 2019 as part of our inspection programme.
We had previously carried out an announced comprehensive inspection of the service in 18 December 2018 and found that it was compliant with the relevant regulations.
The service is a private travel clinic located in the city of Bath. There was a registered manager in post. 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:
- The service had systems to assess, monitor and manage risks to patient safety, and reliable systems for appropriate and safe handling of medicines.
- The service learned from, and made changes as a result of, incidents and complaints.
- The service assessed need and delivered care in line with current legislation, standards and evidence-based guidance, and reviewed the effectiveness and appropriateness of the care provided.
- Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
- The service treated patients with kindness, respect and dignity, and patient feedback was positive about the service.
- Each patient received individualised travel health information including additional health risks related to their destinations and a written immunisation plan specific to them.
- The service organised and delivered services to meet patients’ needs. The service also carried out off site visits, for example to schools and offices, and had policies and processes in place to support these visits.
- There was a clear leadership structure in place and staff felt supported by management.
- The service proactively sought feedback from patients and staff, which it acted upon.
- The service had effective oversight of the clinical care provided to patients.
The area where the provider should make improvements are;
- Establish a risk assessment that clearly details required actions in the event of a cardiac arrest.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care