Background to this inspection
Updated
27 December 2021
Sarah Oakley Lactation Limited is operated by Sarah Oakley, the registered manager and owner. The service was registered in March 2019.
It is registered with the Care Quality Commission (CQC) for the regulated activities of surgical procedures. It is a private clinic that operates from three locations: Bury St Edmunds, Cambridge and Somersham. The service accepts self-referrals from people living in the local area. The service does not treat babies over 10 months of age.
On 9 November 2021, we carried out comprehensive inspection at the Bury St Edmonds clinic and 23 November 2021 we inspected at the registered location. At the time of the inspection the service was operating from the clinic sites and not conducting home visits.
Updated
27 December 2021
This was the first time we inspected the service. We rated it as good because:
- The service controlled infection risk well. The service used systems to identify and prevent surgical site infections. Staff used equipment and control measures to protect patients, themselves and others from infection. They kept equipment and the premises visibly clean
- The design, maintenance and use of facilities, premises and equipment kept people safe. Staff were trained to use them. Staff managed clinical waste well.
- Staff completed and updated risk assessments for each patient and removed or minimised risks. Staff identified and quickly acted upon patients at risk of deterioration
- The service provided care and treatment based on national guidance and evidence-based practice. Managers checked to make sure staff followed guidance.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
- It was easy for people to give feedback and raise concerns about care received
However:
- At the time of our inspection not all staff had completed their safeguarding training
- The safeguarding policy did not reference the royal college of nursing intercollegiate document 2019
Updated
27 December 2021
This was the first time we inspected the service. We rated it as good because:
- The service controlled infection risk well. The service used systems to identify and prevent surgical site infections. Staff used equipment and control measures to protect patients, themselves and others from infection. They kept equipment and the premises visibly clean
- The design, maintenance and use of facilities, premises and equipment kept people safe. Staff were trained to use them. Staff managed clinical waste well.
- Staff completed and updated risk assessments for each patient and removed or minimised risks. Staff identified and quickly acted upon patients at risk of deterioration
- The service provided care and treatment based on national guidance and evidence-based practice. Managers checked to make sure staff followed guidance.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
- It was easy for people to give feedback and raise concerns about care received
However:
- At the time of our inspection not all staff had completed their safeguarding training
- The safeguarding policy did not reference the royal college of nursing intercollegiate document 2019