Source · CQC inspection
Diamond-Garrott Ltd @ Belmont House Clinic
Type Independent Healthcare Org
Region South West
Last inspected 9 Jun 2023
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (2)
Must-do action 1 of 2
Must do
Well-led
The registered person had systems or processes in place that operated ineffectively in that they failed to enable the registered person to assess, monitor and improve the quality and safety of the services being provided. In particular: • Systems and processes failed to ensure all staff were inducted and trained suitably and effectively to mitigate safety risks for patients. For example, basic life support, infection prevention and equality and diversity training. • Policies and procedures were not always consistent or clear for staff to follow. • Recruitment checks had not been completed in full in line with service policies or schedule 3 guidance. This was a breach of Regulation 17(2)(b) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 2 of 2
Must do
Safe
Assessments of the risks to the health and safety of service users of receiving care or treatment were not being carried out. In particular: • Staff immunisation history records were not in line with The Green Book National guidance for immunisation of healthcare staff. This was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Should-do actions (1)
Should-do action 1 of 1
Should do
Well-led
Record and review information from external sources including peers, stakeholder and regulatory bodies.