We carried out an announced comprehensive inspection at the above provider on 28 August 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 service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Pioneer Healthcare Limited is an independent sector healthcare provider that delivers a wide range of adult services to NHS, privately insured and self funding patients. The services are provided in partnership with other independent sector private hospitals. Pioneer Healthcare Limited are registered with the Care Quality Commission and was inspected as a doctors consultation service. and a doctors treatment service.  The provider carries out the regulated activities of surgical procedures, diagnostic and screening and the treatment of disease, disorder or injury.

Feedback obtained through comment cards completed and speaking with patients during the inspection was excellent. We received 19 comment cards and spoke with

to four patients.

Our key findings were:

• There was an overarching governance framework which supported strategic objectives and the delivery of quality care.
• There was good local leadership and a cohesive clinical and administrative team who were well supported.
• Clinicians were committed to improving the outcomes of patients and delivering quality care.
• The organisation encouraged and acted on staff and patient feedback. Patient feedback was consistently positive about the staff and the service they received.
• There was a strong focus on continuous learning and improvement across all levels of the organisation.
• Before patients received any care or treatment they were asked for their consent and the doctors acted in accordance with their wishes. Patients said they were informed of the treatments and associated risks and they were given time to consider these.

We visited the clinic during the day and spent time looking at records and speaking with clinical and administrative staff who provided the services for the patients. Later that day in the evening we visited the clinic and met with patients and their representatives to find out about their views of the service.

Before patients received any care or treatment they were asked for their consent and the doctors acted in accordance with their wishes. Patients said they were informed of the treatments and associated risks and they were given time to consider.

Patients experienced care, treatment and support that met their needs and protected their rights. Staff described how they supported patients and protected their rights. Patients said the doctors always took note of their needs and wishes when planning treatment.

Patients who used the service were protected from any risk of abuse because all staff working at the clinic had training on safeguarding and knew what action they should take if they were to become aware of any allegations of abuse.

Patients who used the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. Patients said they received phone calls from staff and questionnaires asking for their views and experiences.