19th May 2015
During an inspection looking at part of the service
The purpose of this inspection was to check that the provider had taken the necessary steps to address the compliance actions identified on our previous inspection.
We found that the required improvements had been made to the reporting system and that the culture for reporting and learning from incidents had improved. There were processes in place to notify relevant bodies such as CQC of incidents that affected patient safety or treatment.
The clinic had made changes to staffing and employed a full time nurse to provide adequate cover.
Records were secure and complete including electronic copies on the electronic patient record system. One consultant’s written notes that were not easy to read. We raised this with the manager at the time of our visit.
Staff were supported and received regular supervisions and appraisals. There were induction programmes and staff competency frameworks in place. Mandatory training had been completed for all staff including those still in their first six months of employment. There was role specific training for staff which 50% of staff had completed.
Patients were positive about the service they had received. Patients told us they had a choice of consultants and locations for surgery and the clinic demonstrated flexibility in meetings the needs of patients in terms of appointments.