5 December 2019
During a routine inspection
This service is rated as Good overall. We have not previously inspected this location.
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 Care Oncology Clinic as part of our inspection programme. Care Oncology Clinic offers cancer treatments that may complement or enhance patients’ existing cancer treatment care. The service prescribes an ‘adjunctive treatment protocol’ of up to four medicines prescribed ‘off label’ (meaning they are not being used for their originally intended usage) as an adjunctive to patients’ existing cancer treatments.
We received comment cards feedback from ten patients during our inspection – all of which were positive about the quality of care received and the manner in which the ‘adjunctive treatment protocol’ was explained.
Our key findings were:
•The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
•Quality improvement activity (such as clinical audit) supported the delivery of safe and patient centred care.
•Staff involved and treated people with compassion, kindness, dignity and respect.
•Patients could access care and treatment from the service within an appropriate timescale for their needs.
•Joint working arrangements promoted interactive and co-ordinated person-centred care.
The areas where the provider should make improvements are:
- Take action to ensure governance arrangements work effectively regarding complaints management, staff recruitment and the appropriateness of the service’s Infection Prevention and Control Policy.
- Take a ction to review consent protocols including ensuring patients receive appropriate written information about medicines’ ‘off label’ use, so as to support making informed decisions about undergoing treatment.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care