We carried out an announced comprehensive inspection on 19 April 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.
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The Green Lanes Clinic provides a faith-based circumcision service for all age groups, including adults in the predominantly Turkish and Albanian community. The patients seen at the practice for circumcision are often seen for single treatments and no patient list is kept for these. The clinic also provides a private GP service for those from the community who preferred to see a private GP rather than their NHS GP and those who found it difficult to access NHS services.
The practice principal 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.
Fourteen people provided positive feedback about the service.
Our key findings were:
- The service had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service had system to learn from them and improve.
- There were arrangements in place to check the identity of patients. This included a check on parental responsibility for children who attended for procedures. The service reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Services were provided to meet the needs of patients.
- Patient feedback for the services offered was consistently positive.
- There were clear responsibilities, roles and systems of accountability to support good governance and management.
There were areas where the provider could make improvements and should
- To review and formalise the system around the identification of patients.
- To review antimicrobial prescribing.