We carried out an announced comprehensive inspection on 22 March 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 not providing safe care in accordance with the relevant regulations.
Are services effective?
We found that this service was not providing effective care in accordance with the relevant regulations.
Are services caring?
We found that, in one area, this service was not 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 not providing well-led care in accordance with the relevant regulations.
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.
The Baltic Medical Centre is an independent health service based in Canary Wharf, London, providing consultations, treatment and referrals for patients who primarily come from Eastern Europe.
Our key findings were:
- Patient feedback was positive about the service and staff told us that they felt supported and able to raise concerns.
- There was no clinical oversight of the treatment and care being provided by individual clinicians. The service was not signed up to receive any medicines safety alerts and did not carry out clinical audits for clinicians.
- Not all staff had completed child safeguarding training to the appropriate level.
- There was a system for recording significant events and complaints. However, there was no evidence of analysis of events or complaints and no evidence that lessons learned were shared with all staff.
- Staff told us that regular staff meetings took place, however these were not minuted.
- Disclosure and Barring Service (DBS) checks in two staff members’ files did not have any details of the outcome of the check.
- There were no curtains or screens available in most of the treatment rooms for patients to maintain their dignity.
- On the day of inspection, the service did not have all appropriate emergency medicines. There was also no evidence that regular checks of the emergency medicines were being completed.
- We found risks relating to infection prevention and control on the day of inspection, including in relation to clinical specimens, sharps bins, cleaning of equipment, and the flooring and sinks.
- We found three boxes of medicines that were not licenced for use in the UK, medicines being used for patients which had been obtained through individual prescriptions in staff members’ names, open tubes of cream which we were told were being used for multiple patients which had no opening date recorded, and we saw that blank prescriptions were not kept securely.
- The service had policies in place which were available to all staff. However, the policies did not always include all relevant and necessary information.
- The service did not have an adequate system to verify patients’ identities, including checking that adults attending with children had parental responsibility.
- The service did not carry out any regular fire alarm tests or fire drills, and there were no trained fire marshalls.
We identified regulations that were not being met and the provider must:
- Ensure that all patients are treated with dignity and respect.
- 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.
You can see full details of the regulations not being met at the end of this report.
There were areas where the provider could make improvements and should:
- Review the arrangements for ensuring the competency and professional development of staff in relation to training.