Tajmeel Clinic Ltd

This was the first time we inspected the service. We rated it as requires improvement because:

• Governance processes were not effective to demonstrate oversight of patient safety and outcomes and risks were not captured. There were no written documents to show the service used evidence-based care.
• Information required to support safe recruitment processes was not all collected and reviewed in line with legislation.
• Follow up information about patients were not recorded in patients’ electronic records. Patients were not always reviewed in line with their policy. The medicines given were not always recorded accurately in patients’ notes.
• Staff did not always act on risk assessments in relation to mental health needs and did not maintain full contemporaneous patient records.
• Risk assessments for substances hazardous to health were not fully completed.
• There were no formal processes to ensure staff received annual appraisals.
• Information about how to make a complaint was not provided on the service’s website.

However,

• The service had enough staff to care for patients and keep them safe. Staff had training in most key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well and mostly managed medicines well.
• The service monitored patient outcomes. They gave patients pain relief then they needed it and made sure staff were competent.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients as required.
• The service planned care to meet the needs of local people, 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 for treatment. No complaints had been made to the service in the 12 months before our inspection.
• Staff were focused on the needs of patients receiving treatment and were clear about their roles and accountabilities. The service engaged well with patients.