Hampshire Travel and Vaccination Clinic

Updated 30 December 2020

Hampshire Travel and Vaccination Clinic is the only registered location of the registered provider Hampshire Health Limited. Hampshire Health Limited offer a range of services including those that are not provided under registration with CQC, including occupational health services.

For this desk based review, we asked the provider to submit documentary evidence of compliance and undertook interviews with the provider via video conferencing.

Hampshire Travel and Vaccination Clinic is located in Emsworth in Hampshire on the border with West Sussex. The opening times of the travel clinic have varied during the COVID-19 pandemic, as the demand for travel vaccination has dropped. Access arrangements are displayed on their website and all appointments are booked remotely.

The service has one employee, a registered nurse who is also the registered manager and a GP clinical lead, who is the provider’s responsible individual.

The address of the location is:

Hampshire Health Limited,

97 Emsworth Road,

Hampshire,

PO10 7LF.

Hampshire Travel and Vaccination Clinic provides a comprehensive travel service which includes travel advice, consultations and travel vaccinations. The service is also a Yellow Fever vaccination centre. Other vaccinations are also available such as flu vaccinations. All services incur a consultation and treatment charge to patients. Costs vary depending upon the type of consultation and treatment.

At the time of the inspection, the clinic had added the provision of COVID-19 testing to the services offered under the regulated activity; treatment of disorder, disease and injury and had updated its statement of purpose to reflect this activity.

How we inspected this service

During our review we:

• Spoke with the registered manager, who is the only employee, and the medial director who is the provider’s nominated individual.

• Reviewed service documents and policies.

We did not receive any information of concern from other organisations.

Updated 30 December 2020

At the last inspection of Hampshire Travel and Vaccination Clinic in January 2020 we rated the service requires improvement overall. We rated the key question of well-led as inadequate and the key question of safe as requires improvement. The practice was rated as good for the provision of effective, caring and responsive services.

Previously, in May 2019 we had issued a warning notice in relation to Regulation 18 of the Health and Social Care Act (Regulated Activities) Regulations 2014, which related to staffing, and requirement notices for breaches of Regulations 12 (Safe care and treatment) and 17 (Good Governance). In July 2019, we followed up on the warning notice and found the service was compliant with all but one element of the warning notice. In January 2020, we carried out a comprehensive inspection to review actions taken in response to the previous inspections. We found the some of these issues had been resolved, while others still required to be addressed and new issues were identified. Following this inspection we issued a warning notice for the breach of Regulation 17 (Good Governance).

In November 2020 we carried out an announced desk top review to follow up on the warning notice and to assess whether the service had carried out its action plan to meet the legal requirements in relation to the breach of Regulation 17 identified in January 2020.

To follow up on the warning notice, we were mindful of the impact of the Covid-19 pandemic on our regulatory function. We took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what type of inspection was necessary and proportionate. In order to seek assurances around potential risks to patients, we gathered the evidence for this report without entering the service’s premises. This was to follow up on the warning notice, therefore we did not review ratings as part of this assessment.

The desk based review therefore focused on the management of policies, procedures and risks. We did not need to seek patient feedback.

We based our judgement of the quality of care at this service on a combination of what we found when we reviewed the information sent to us by the provider and a discussion with the registered manager and the medical director via a digital call. 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 desk based review demonstrated that the provider had addressed the issues raised at the previous inspection in January 2020 and was no longer in breach of Regulation 17 of the Health and Social Care Act (Regulated Activities) Regulations 2014. We found the provider had reviewed and updated policies to ensure they were relevant and version controlled, and had embedded its approach to clinical governance.

Our key findings were:

• The safeguarding policy had been updated to reflect leadership arrangements and local guidance.
• The provider had embedded its approach to governance using a clinical governance management tool for training, audits, policy reviews and appraisals.
• The provider recorded and investigated incidents.
• The registered manager received safety updates through subscriptions and membership of relevant professional bodies.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care