22 March 2023
During an inspection looking at part of the service
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