At the inspection on 8 May 2019 we found there was no system or process to ensure that children attending the service were accompanied by an adult with parental responsibility. We reviewed this as part of this focussed inspection in September 2020 and found this issue had been addressed.
We also told the provider they should review and improve systems and processes for quality improvement including audits and improve governance processes, specifically related to reviewing the service’s written policies and procedures. These issues did not amount to breaches of the regulations. We checked these areas as part of this focussed inspection and found improvements had been made.
The provider provided examples of audits they had carried out and corresponding changes made to the service. For example, the provider added vitamin D tests to the standard battery of tests ordered for patients, as a result of findings of an audit they had carried out. They also described regular case reviews carried out for challenging or unique cases to identify learning and improvement points.
The provider described the governance processes put in place following the inspection in May 2019. This ensured their policies were reviewed and/or updated in an organised, recorded way and at regular intervals.
Rose Valley Medical Centre is a private doctors consultation service for adults and children delivered by a sole practitioner on a private, fee paying basis only.
We interviewed the provider remotely but did not request feedback from patients as part of this desk-based follow up inspection.
Our key findings were:
- The service had systems to assess, monitor and manage risks to patient safety.
- The service had a governance framework in place which supported the delivery of quality care.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care