Mallucci London

This service has not previously been rated. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients acted on them and kept good care records. They managed medicines well.
• Staff provided good care and treatment, they provided patients with pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, supported them to make decisions about their care and with access to good information. Key services were available when required.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs.
• The service planned care to meet the needs of their patients, they took account of patients' individual needs and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities.

However:

• Although the provider carried out checks of the theatre ventilation system in 2017 and 2019, they were not as frequent as recommended by the guidance. The national guidance states ventilation systems should be inspected quarterly and verified at least annually.
• Some equipment was stored in corridors that were designated as fire escape routes; escape routes should always stay unobstructed. After the inspection, the provider told us that suitable storage has been allocated to ensure equipment was not stored in corridors. They reminded all staff that the evacuation routes must stay clear of clutter.
• Seating in waiting areas was covered in hard-to-clean fabrics, which is against the guidance on infection control and prevention. Although the seating appeared in good order and visibly clean, the provider could not tell us when these were cleaned last; they could not confirm the cleaning method that was used helped to control the potential spread of infection. After the inspection, the provider arranged for all fabric-covered seating to be steam cleaned. They also arranged for a routine cleaning service to control and minimise the spread of infection.
• Although we found medicines were stored and managed safely, staff responsible for managing medicines did not receive regular formal training that would allow them to review their skills and update their knowledge in relation to medicines management practices.
• The provider told us they were in the process of developing business continuity plans. This meant at the time of the inspection there was no formalised framework for responding to a disruptive incident the clinic could potentially face.