Background to this inspection
Updated
9 May 2019
Jenna clinic is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides at their location in the city of Peterborough. The clinic provides ultrasound and gynaecology services, assessment for IVF and assessment for plastic surgery and an internal medicine service (doctors of internal medicine focus on adult medicine with specialist training).
The service is opened every weekday and at the weekends, the hours are flexible to the needs of the patients. If the clinic is not open, staff work from home bases to ensure calls and emails are monitored.
We carried out an announced comprehensive inspection on 16 April 2019 to ask the service the following key questions; Are services safe, effective, caring, responsive, and well-led?
During our visit we:
- Spoke with staff, including admin staff and the registered manager.
- Reviewed a sample of the personal care or treatment records of patients.
- Looked at information the clinic used to deliver care and treatment plans.
Updated
9 May 2019
We carried out an announced comprehensive inspection at Jenna Clinic on 16 April 2019 as part of our inspection programme and to rate the service.
The clinic provides ultrasound and gynaecology services, assessment for IVF and assessment for plastic surgery. 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 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. For example, complementary therapies, including acupressure. These types of arrangements are exempt by law from CQC regulation.
The manager of the clinic is 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 service is run.
The service proactively gained feedback from patients with regular reports compiled from the surveys. As part of our inspection we reviewed the results of the patient surveys that had been collected over the previous 12 months.
We received eight Care Quality Commission comment cards, and all of these were wholly positive about the care and service and positive outcomes the patients had received.
Our key findings were
:
- We saw there was leadership within the service and the team worked together in a cohesive, supported, and open manner.
- There was an effective system in place for reporting and recording significant events.
- 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.
- All staff had received a Disclosure and Barring Service (DBS) check.
- Risks to patients were assessed and monitored.
- The service held a central register of policies and procedures which were in place to govern activity; staff were able to access these policies easily and all staff had signed each one.
- The service had embedded the system to ensure clinical auditing was completed to achieve quality improvement.
- 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, and reports collated from the findings and action taken where required.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care