28 June 2022
During a routine inspection
This service is rated as Good overall. (Previous inspection 27 March 2018 – not rated)
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? – Good
We carried out an announced comprehensive inspection 10 St John Street on 28 June 2022. This
inspection was part of the CQC inspection programme to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
10 St John Street provides treatment for men experiencing Testosterone Deficiency Syndrome, erectile dysfunction and prostate health concerns.
The 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.
Our key findings were:
- The provider had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the provider learned from them and improved their processes.
- The provider reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- Systems were in place to deal with medical emergencies and staff were trained in basic life support.
- There were systems in place to reduce risks to patient safety. For example, infection control practices were carried out appropriately and there were regular checks on the environment and on equipment used.
- Staff were appropriately trained and experienced to deliver effective care and treatment.
- Staff had access to all standard operating procedures and policies.
- The location of the service provided appropriate facilities for patients, including disabled access.
- There was a clear leadership and staff structure and staff understood their roles and responsibilities.
- The provider had a clear vision to provide a safe and high-quality service.
- There were clinical governance systems and processes in place to ensure the quality of service provision.
- Staff involved and treated people with compassion, kindness, dignity and respect. Patient feedback highlighted high levels of satisfaction.
- Information about the provider and how to raise concerns was available.
- There was a strong focus on innovation, continuous learning and improvement at all levels of the organisation.
We found one area of outstanding practice:
- Feedback from patients who use the service was continually positive about the way staff treated them. Patients think that staff go the extra mile and their care and support exceeds their expectations. The service was proactive in collecting the views of its patients. We reviewed recent and historic patient survey information. All patient survey information we reviewed detailed very positive feedback about the care and treatment provided. Patients highlighted that all administrative services had been carried out in a professional, courteous and discreet manner. Consultations were always thorough, and patients commented they were always involved in decisions about their care. Patients said the clinic was very professionally run with everyone being friendly and attentive, and communication was always two way and all questions about administration, care and treatment were answered in detail.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care