We carried out an announced focused inspection at Cedar Park Healthcare on 31 May 2018 to ask the service the following key questions; are services safe, effective and well-led? This was a result of our previous inspection on 7 March 2018 when we found that the service was not providing safe, effective and well-led care. We issued the provider with a Warning Notice and required them to take action.

Our findings at this inspection on 31 May 2018 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 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 service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

CQC inspected the service on 7 March 2018 and asked the provider to make improvements. We checked these at this inspection and found they had been resolved.

Mr Oluropo Ebenezer Ojo is registered to provide the regulated activities of surgical procedures and treatment of disease disorder or injury.

The provider employs a 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Cedar Park Healthcare provides NHS funded services under the primary care surgical scheme for a range of minor surgery procedures for patients over the age of 18.

We carried out an announced comprehensive inspection of Dr Oluropom Ojo , Cedar Park Healthcare, on 7 March 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 not providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was not 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 not 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 service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The service had not been previously inspected by Care Quality Commission . Cedar Park Healthcare is registered to provide the regulated activities of surgical procedures and treatment of disease disorder or injury.

The provider employs a 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Cedar Park Healthcare provides NHS funded services under the primary care surgical scheme for a range of minor surgery procedures for patients over the age of 18.

Our key findings were:

• The service had good facilities and was well equipped to treat patients and meet their needs.
• There was an effective system in place for reporting and recording significant events.

• Risks to patients were assessed and well managed. The provider had arrangements in place to respond to emergencies and major incidents.

• Whilst there was a process in place to safeguard patients, however not all staff had received the appropriate safeguarding training.

• We were not assured that the risks associated with healthcare associated infections were well managed as there was no process of monitoring post-operative infections.

• Staff sought patients’ consent to care and treatment in line with legislation and guidance.

• The provider actively encouraged patient feedback and acted upon it.

• Complaints were recorded and dealt with in an appropriate manner.

• The provider was aware of and complied with the requirements of the Duty of Candour.

• There had been no effective or appropriate audit of minor surgery carried out.

• There was no system in place to ensure that the results of histology on tissue samples were matched with the samples that had been sent.

• The provider had little oversight or control over the management of medicines and the administration of them by clinicians while working at Cedar Park.

We identified regulations that were not being met and the provider must:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

You can see full details of the regulations not being met at the end of this report.

There were areas where the provider could make improvements and should:

• Review the process of recording medicines stock and requisitions.