This service is rated as
Good
overall.
The key questions are rated as:
Are services safe? – Requires improvement
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 The Grange Clinic Ltd on 25 April 2022 as part of our inspection programme.
We rated the service as Good overall and for providing effective, caring, responsive and well-led services. We rated the service as requires improvement for providing safe services because some of the systems and processes required to support safe practice had not been formalised and/or required development.
This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The Grange Clinic Ltd provides a range of non-surgical cosmetic interventions some of which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.
The registered manager for the service is Aenone Harper-Machin. 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.
Our key findings were:
- The service provided care in a way that kept patients safe and protected them from avoidable harm. However, some of the systems and procedures to support this needed to be developed.
- Patients’ needs were fully assessed, and care and treatment were tailored to individual needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care and treatment.
- The service organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- Leaders had the capacity and skills to provide good quality care and governe the service.
We found the following breach of regulations. The provider must:
- Develop procedures to support the provision of safe care and treatment. To include; Carrying out a review of the policies and procedures for safeguarding children and vulnerable adults. Review assessments of risk and produce plans to detail how risks are mitigated. Introduce a formailsed audit of infection prevention and control measures and practices. Carry out a risk assessment to demonstrate the emergency medicines required. Ensure a system is in place for receiving and acting upon patient safety alerts.
The provider should make the following improvements:
- Assess the training needs of members of the non-clinical team and produce a training plan to ensure these are met.
- Consider a second stage to the complaints process to include adjudication.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care