We carried out an announced comprehensive inspection on 29 September 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations

Our key findings were:

• There were systems in place to safeguard children and vulnerable adults from abuse and the doctor and operations manager had received the appropriate training.

• The service had systems to manage risk so that safety incidents were less likely to happen.

The doctor was aware of current evidence based guidance and they had the skills, knowledge and experience to carry out their role.

• Consent procedures were in place and these were in line with legal requirements.

• Patients were able to access care and treatment from the clinic within an appropriate timescale for their needs.

• Information about services and how to complain was available.

• The service had proactively gathered feedback from patients.

• • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvement are:

• Develop quality assurance processes to include two cycle clinical audits in order to drive improvement.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice