Background to this inspection
Updated
6 May 2022
IASO Ltd Base provides care for people with chronic persistent pain. They focus on movement, medication and mind. Patients are provided with a bespoke care plan which includes a pain management programme. They offer a range of pain management programs and treatments which includes cannabis-based products (CBPMs) for medicinal use which are prescribed by experienced medical staff working within the latest Governmental guidelines. The service can be accessed through their website,
The opening hours are 9am to 5pm Monday to Friday. The medical team comprises consultant doctors who specialise in Pain Management, Clinical psychologists, Nurse specialists, and Physiotherapists. There is also a managing director, clinical director, head of development, head of product, clinical operations manager, marketing and community manager and administration and support staff.
How we inspected this service
We reviewed information sent to us by the provider remotely prior to attending the site to reduce the time spent on site in line with our Covid- 19 inspecting guidance. We spoke with the registered manager, clinical director, a consultants and a range of other staff. We looked at records related to patient assessments and the provision of care and treatment. We also reviewed documentation related to the management of the service. We reviewed patient feedback provided to a third party.
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
6 May 2022
This service is rated as
Outstanding
overall.
This is the providers first inspection
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? – Outstanding
We carried out an announced comprehensive inspection at IASO Ltd Base as part of our inspection programme. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The Managing Director is the registered manager. 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.
IASO Ltd Base who trade as Leva clinic is an online Chronic Pain clinic whose aim is to help people with persistent pain lead a better life. They offer treatments that include Cannabis-based products for medicinal use (CBPMs) which are prescribed by experienced medical staff working within the latest Governmental guidelines.
We did not speak directly with patients during this inspection.
Our key findings were:
- The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- The provider had systems in place to protect people from avoidable harm and abuse.
- There was a clear vision to provide a safe, personalised, high quality service.
- All staff we spoke to felt valued by the leaders and said there was a high level of staff support and engagement.
- Patients could access care and treatment from the service within an appropriate timescale for their needs.
- The service had a comprehensive business development strategy that effectively monitored the service provided to assure safety and patient satisfaction.
- The provider was involved in a variety of cross collaborative working projects including the NHS in relation to holistic care and furthering the understanding of CBPMs to develop this area of medicine.
- Feedback about the practice was extremely positive from patients and peers. The clinic had received awards including one for Digital Technology.
- There was a strong focus on continuous learning and improvement. The Managing director had identified training modules that all doctors had to complete following their induction and on a regular basis.
We saw the following outstanding practice:
- The leadership, governance and culture was used to drive and improve the delivery of high-quality person-centred care. The clinical board had oversight of the outcome monitoring completed by patients every three months and could demonstrate patient improvement in key areas for most patients and/or regular care plan reviews for all patients.
- The provider had been named as ‘one to watch’ in the field of digital health by the Department of international trade and had been commended for their work in Diversity & Inclusion. Patient Inclusion advisors were part of the staff team. They produced a weekly patients perspective blog and a pain management podcast. Each month they shared blog posts, clinical updates, events, new products and interview guest clinicians in the field of pain management. They also drafted and sent out monthly newsletters to over 500 subscribers. These included clinical updates, educational content and community.
- Leaders had an inspiring shared purpose, they strived to deliver and motivate staff and other professionals to succeed. Staff were proud of the organisation as a place to work and spoke highly of the culture. Further, the clinic had partnered with a University that provided medical training as part of their Year 2 Clinical, Research and Innovation Course. Patient outcomes were reviewed by the students. Students that took part in this work have presented their summaries at International conferences such as European Pain Federation.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care