Clinic consultation

Hereford Sexual Health Clinic told it needed to improve by CQC inspectors

A HEREFORD sexual health clinic has been told it needs improvement by the Care Quality Commission.

Solutions4Health in Hereford’s St Owens Street, commissioned by Herefordshire Council, was visited by inspectors for an inspection announced in April this year and assessed in five areas.

Inspectors rated the clinic as “good” in the efficient, caring, and responsive categories, but said improvement was needed in the sales and well-run categories, giving it an overall rating of “needs improvement.”

The consultant-led sexual health service provides screening and diagnostic services for sexual health-related conditions, as well as a variety of contraceptive methods, including long-acting preventive contraception.

The report said the service had effective systems in place to protect people from abuse, staff training was up to date, staff knew how to protect patients from abuse and report concerns, and appropriate DBS checks were in place. performed on staff.

The kind, respectful and compassionate staff proved to be appropriately qualified, encouraged to develop skills, to respect privacy and dignity, and to be consistent and proactive in empowering patients.

Care records were well written, information was shared with other agencies to enable safe care and treatment, referrals were made in a timely manner, and incidents and complaints were recorded and addressed.

And the service also turned out to be mostly services arranged and provided on an as-needed basis, while wait times were minimal.

But, inspectors said, leaders had established policies, procedures and activities to ensure the safe operation of the service, but these were either not effective or not working as intended.

Emergency medicine and oxygen masks were found to be expired, while legionella checks were not performed as per provider policy, and immunization refrigerator temperatures were out of the recommended range.

There were areas where lines of accountability, roles and accountability and management systems were unclear, inspectors said, with some staff not receiving formal clinical supervision, although staff was clear about its roles and responsibilities at the local level, according to the report.

And there were no detailed fire plans in place to ensure safe evacuation of the building in the event of an emergency, and fire drills were not carried out, said the inspectors.

However, according to the report, Solutions4Health said patients with reduced mobility were seen in ground floor rooms, and information was later provided to the CQC showing that morning checks included determining which patients needed help. to access the clinic room on the ground floor. Fire alarm checks were also carried out.

And patients and staff were at risk of harm because no system was in place or practiced to ensure the risk was effectively mitigated.

The issues found put Solutions4Health in breach of regulations and they must establish effective systems and processes to ensure good governance in accordance with core standards of care, the inspectors said.

Bosses should also explore systems to ensure that all environmental risks are reviewed and mitigated.

A spokesperson for Herefordshire Council said: “We are working closely with Solutions4Health to ensure that issues raised by the Care Quality Commission are resolved quickly. I know that some improvements have already been made. Our aim is to provide safe and supportive sexual health services for the people of Herefordshire.