Cavell House

Updated 3 October 2019

• The provider of this service is Cavell & Lind Limited.

• Cavell House is located at Unit 4, North Lynn Business Village, Bergen Way, North Lynn Industrial Estate, Kings Lynn, PE30 2JG.
• The website address is: www.cllimited.com
• Cavell House is an independent provider of occupational health services. The service offers off site assessments, work based assessments, lung function tests, vaccinations and fitness to work assessments.
• Cavell & Lind Limited also have a separately registered adult social care location which we did not inspect.
• The practice is open between 8am and 5pm Monday to Friday.

Before visiting, we reviewed a range of information we hold about the service and asked them to send us some pre- inspection information which we reviewed.

During our visit we:

• Spoke with a range of staff from the service including the registered manager, health advisor and the quality and compliance manager.
• Reviewed a sample of records.
• Reviewed comment cards where clients had shared their views and experiences of the service.
• Looked at information the service used to deliver care and treatment plans.

To get to the heart of clients’ experiences of care and treatment, we always ask the following five 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 3 October 2019

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Cavell House on 25 September 2019 to rate the service as part of our inspection programme.

Cavell House is an independent provider of occupational health services, including immunisations and fitness to work assessments.

This service 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 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 Cavell House, occupational health schemes (that do not involve treatment requiring admission to hospital) organised through an employer, where these are for the benefit of the employee only are exempt from regulation. Cavell House offers other specialist services and treatments such as lung function tests and drug and alcohol testing which are also exempt from regulation.

The practice is registered with the CQC provide the following regulated activities:

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

The manager is an occupational health technician and the registered manager. A registered manager is a person who is registered with the Care Quality Commission 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 practice is run.

As part of our inspection we asked for CQC comment cards to be completed by clients prior to our inspection visit. We received nine comment cards which were wholly positive about the service and staff. The cards reflected the kind and caring nature of staff, how informative staff were and the time taken with patients. Other forms of feedback, including patient surveys and social media feedback was consistently positive.

Our key findings were:

• We saw there was leadership within the service and the team worked together in a cohesive, supportive and open manner.
• Information about services and how to complain was available and easy to understand.
• The provider was aware of and complied with the requirements of the Duty of Candour.
• Risks to patients were assessed and monitored.
• The service held a range of policies and procedures which were in place to govern activity; staff were able to access these policies.
• To ensure and monitor the quality of the service, the service completed audits which showed the effectiveness of the service.
• Staff assessed patients’ needs and delivered care in line with current evidence-based guidance.
• Staff had the skills, knowledge and experience to deliver effective care and treatment.
• All patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• The service had good facilities and was well equipped to treat patients and meet their needs.
• The service proactively sought feedback from staff and patients, which it acted on. Regular surveys were undertaken; reports were collated from the findings and action taken where required.

The areas where the provider should make improvements are:

• Improve the documentation of significant events.
• Embed the system for the recording of actions taken to reduce the risk of legionella bacteria contamination of water systems.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care