Wimborne Travel Clinic

Updated 9 July 2019

Wimborne Travel Clinic is the only location for Wimborne Medical Services Limited, based within the GP practice of The Quarter Jack Surgery, Rodways Corner, Wimborne, Dorset, BH21 1AP

The clinic has been registered since 2014 and provides travel advice, immunisations and health protection.

The clinic operates from one room within a purpose-built GP practice. The clinic has access to all the emergency equipment i.e. defibrillator etc. owned by Quarter Jack Surgery (separately inspected under CQC and rated in February 2019 as ‘GOOD’). Private patients attending the clinic access through the surgery reception area and use the practice waiting area until called for their appointment.

There are six directors of Wimborne Medical Services Ltd. All are partners at the GP practice and two of these directors take the lead on running the travel clinic. The clinic currently has a clinical manager/clinical lead, an administrative manager and four nurses offering the travel service.

The opening times of the clinic are as follows:

Monday - 10.30am until 1pm and then 2pm until 6pm

Tuesday - 2.30pm until 6pm

Wednesday - 8.30am until 1pm

Thursday - 2pm until 6pm

Friday - 2pm until 6pm

Saturday and Sunday – by arrangement.

The clinic provides the regulated activity of treatment of disease, disorder or injury.

Further information about the service can be found at www.wimbornetravelclinic.co.uk

How we inspected this service

Our inspection team was led by a CQC lead inspector. The team included a member of the CQC medicines optimisation team.

The methods that were used at this inspection included speaking with the provider, interviewing staff, observations and review of documents and comment cards.

To get to the heart of patients’ 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 9 July 2019

This service is rated as Good overall. (Previous inspection January 2018- No rating given)

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 Wimborne Travel Clinic as part of our inspection programme to ask the service provider the following key questions; Are services safe, effective, caring, responsive and well-led?

Wimborne Travel Clinic is the only location for Wimborne Medical Services Limited and has been registered to provide travel advice, immunisations and health protection. The clinic is a registered yellow fever centre.

There are six directors of Wimborne Medical Services Ltd who are all partners at the GP practice where the clinic is situated (Quarter Jack Surgery). Two directors take the lead on the day to day running of the clinic and one of the directors is the registered manager of the clinic. 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.

We obtained feedback through 18 comment cards. These were all positive and contained comments relating to the efficient service and knowledgeable, friendly kind and professional staff. There were no negative comments or suggestions. Patient comments included feedback that they had their procedures fully explained beforehand and felt involved in decision making.

Our key findings were:

• Staff had the relevant experience to deliver the care and treatment offered by the service.
• Medicines and emergency equipment were safely managed.
• The service was offered on a private, fee paying basis only.
• The practice facilities were well equipped to treat patients and meet their needs.
• Assessments of a patient’s treatment plan were thorough and followed national guidance.
• Patients received full and detailed risk assessment, including explanation and costs of any treatment options. This included assessment of patients with complex health needs and long-term conditions.
• The service had systems in place to identify, investigate and learn from incidents relating to the safety of patients and staff members.
• There was an established leadership structure and staff felt supported by management.
• There were effective governance processes in place.
• There were processes in place to safeguard patients from abuse.
• There was an infection prevention and control policy; and procedures were in place to reduce the risk and spread of infection.
• The service encouraged and valued feedback from patients and staff.
• Feedback from patients was consistently positive.
• Staff had been innovative in the development of an IT software system as it was introduced into the UK.

The areas where the provider should make improvements are:

Review the significant event process to ensure positive clinical incident learning is included to demonstrate how the learning is shared and applied

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care