The Buckingham Centre Also known as Slough Travel Clinic

Updated 25 May 2023

The Buckingham Centre is the registered location of the provider Collingwood Health Ltd and is located in Slough, Berkshire. This service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, 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 Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At The Buckingham Centre, services are provided to service users under arrangements made by their employer with whom the service holds a corporate contract. These types of arrangements are exempt by law from CQC regulation. Therefore, at The Buckingham Centre, we were only able to inspect the services which are not arranged for service users by their employers. The Buckingham Centre is registered with CQC to deliver travel and flu vaccinations to members of the public. The service is also a Yellow Fever vaccination centre. These services incur a charge to the service user and costs vary depending upon the type of vaccination requested.

The Buckingham Centre registered with CQC on 4 January 2018 and is registered to treat adults aged 18 and over for the following regulated activities:

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

Regulated activities are provided from:

• The Buckingham Centre, 30 Bradford Road, Slough, Berkshire SL1 4PG

The Buckingham Centre’s website is:

• www.collingwoodhealth.com

Travel vaccines offered by The Buckingham Centre are available on demand to the public when staff are not carrying out duties that fall under the non-regulated occupational health side of the business. A small team of clinical and administrative staff support the service to deliver the regulated activities. Consultations are booked by the receptionist to be held with the nurse who also administers the vaccines.

How we inspected this service

Throughout the COVID-19 pandemic, CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently. This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the service and in line with all data protection and information governance requirements.

We carried out this inspection on 22 March 2023. Before carrying out an onsite inspection, we looked at a range of information that we hold about the service. Before and during our visit, we interviewed staff, reviewed documents, and made observations relating to the service and the location it was delivered from.

Due to the current pandemic, we were unable to obtain comments from service users via our normal process where we ask the service to place comment cards in the service location.

During our inspection we:

• Spoke with the registered manager
• Spoke with staff
• Reviewed service documents and policies
• Completed an onsite visit

To get to the heart of service users’ experiences of care and treatment, we always ask the following 5 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 25 May 2023

This service is rated as Requires improvement overall. (Previous inspection October 2022 – Inadequate)

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

We carried out an announced comprehensive inspection at The Buckingham Centre to follow up on breaches of regulations arising out of last inspection. The key questions we inspected were; are services safe; are services effective; are services caring, are services responsive and are services well-led?

CQC inspected the service on 18 October 2022 and asked the service to make improvements regarding safety, staffing and good governance:

• We issued a Warning Notice to The Buckingham Centre for failing to comply with Regulation 12, 12(1), Safe care and treatment, of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. During this comprehensive inspection in March 2023, we found the service had made most but not all improvements related to this breach of regulation.
• We issued a Warning Notice to The Buckingham Centre for failing to comply with Regulation 18, 18(1), Staffing, of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. During this comprehensive inspection in March 2023, we found the service was compliant with this regulation.
• We issued a Requirement Notice to The Buckingham Centre for failing to comply with Regulation 17, Good governance, of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. During this comprehensive inspection in March 2023, we found the service had made some improvement.

This location 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 general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The Buckingham Centre is registered with CQC to provide the following regulated activities:

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

The director of Collingwood Health Ltd is the registered manager. A registered manager is a person who is registered with CQC 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:

• Staff had completed appropriate training in line with the service’s own policy.
• The service had verified staff qualifications and ensured where appropriate, staff had a current registration with a professional body.
• An induction process was in place for new staff.
• There was a system to check emergency equipment was in working order.
• There was a system and process to check emergency medicines were in date.

The areas where the service must make improvements as they are in breach of regulations are:

• Ensure care and treatment is provided in a safe way to patients.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
• Display the most recent CQC rating.

The areas where the service should make improvements are:

• Implement an effective system for monitoring and recording the fridge temperature in line with own policy to ensure that medicines are being stored in line with the manufacturer’s guidance.
• Review the accessibility and availability of service information for service users with language and communication needs.
• Implement an effective system to ensure patient care records are completed accurately.
• Embed the process to regularly complete an infection prevention and control audit in line with own policy.
• Implement an effective system to ensure staff complete regular training in travel health.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services