SecuriCare (Medical) Ltd

Updated 7 December 2017

SecuriCare (Medical) Ltd is part of the CliniMed Group, a company that develops, manufactures and markets healthcare products and services worldwide. The company makes medical products for ostomy and continence care.

SecuriCare (Medical) Ltd provides specialist stoma nursing care and we inspected this part of the service. The service is based in High Wycombe and has clinical partnerships in 13 locations across England. The provision of care was implemented through local agreements with both acute and primary care service providers. The specialist stoma care nurses, through these agreements provide ongoing support and continuity of care for patients with ostomy needs. The nurses offer support in the community setting through local clinics or in patients’ own homes. At the time of our inspection there were 45 specialist stoma care nurses employed, two clinical support workers, two administration staff and seven NHS funded nurses, including two staff covering maternity leave. These staff worked in 13 locations across England.

SecuriCare (Medical) Ltd was registered with CQC in April 2016. The registered manager had been in their role since the service was registered. This was the first inspection of the service.

SecuriCare (Medical) Ltd provide stoma care to all age groups. 

Updated 7 December 2017

SecuriCare (Medical) Ltd provide a nursing service in the community for patients requiring support with stoma care.

We have not rated this service because we do not currently have a legal duty to rate this type of service or the regulated activities it provides.

We inspected, but have not rated, all elements of the five key questions including whether the service was safe, effective, responsive, caring and well led.

SecuriCare (Medical) Ltd is registered in respect of:

• Regulated Activity: Treatment of disease, disorder or injury.

We found the following areas of good practice:

• SecuriCare demonstrated patients were at the centre of their service delivery and developments
• Stoma care nurses had the skills, competencies and knowledge to carry out their role independently. The specialist nurses demonstrated expertise in all aspects of stoma care.
• Patients were able to access support and advice from SecuriCare nurses when required.
• Nurses provided compassionate care to patients, treating them with dignity and respect.

However, we also found the following issues that the service provider needs to improve:

• Details of the process for duty of candour were not included in the governance policy or other policies.
• Not all staff were trained to level 2 safeguarding children. This did not meet the standards for safeguarding children set out in the intercollegiate document (Royal College of Paediatrics and Child Health standards for safeguarding competencies for health care staff)
• The safeguarding lead for the organisation was only trained to level 2 safeguarding children. This did not meet the standards for safeguarding children set out in the intercollegiate document.
• The provider had limited systems for monitoring performance against national guidance and regulations.

Following this inspection, we told the provider that it must take some actions to comply with the regulations and that it should make other improvements, even though a regulation had not been breached, to help the service improve. We also issued the provider with one requirement notice. Details are at the end of the report.