We carried out an announced comprehensive inspection on 20 February 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.

Jenhams Clinic provides independent travel health advice, travel and non-travel vaccinations, skin tag removal, ear irrigation and blood tests. People of all ages intending to travel abroad can seek advice regarding health risks and receive both information and necessary vaccinations and medicines. The clinic is also a registered Yellow Fever vaccination centre.

The service is provided by two nurses and a part-time nurse who specialises in skin tag removal. A GP works remotely to provide medical support to the service. The clinic staff hold Diplomas of Travel Medicine from the Royal College of Physicians and Surgeons and are members of the British Global and Travel Health Association.

The clinic is registered with the Care Quality Commission to provide the following regulated activities: Treatment of disease, disorder or injury. One of the nurses is the nominated individual who is also registered with Care Quality Commission as the 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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We received feedback from 49 clients about the clinic. All replies were very positive. Comments included a great swift service, very informative and supportive, safe and hygienic environment. We also received a number of comments praising the clinic for the care their children received. Clients felt staff were friendly, knowledgeable and professional.

Our key findings were:

• Staff had the relevant skills, knowledge and experience to deliver the care and treatment offered by the service.
• The service was offered on a private, fee paying basis only.
• The clinic had good facilities, and was well equipped, to treat clients and meet their needs.
• Assessments of a client’s treatment plan were thorough and followed national guidance.
• Clients received full and detailed explanations of any treatment options.
• The service had systems in place to identify, investigate and learn from incidents relating to the safety of clients and staff members.
• There were effective governance processes in place.
• There were processes in place to safeguard clients from abuse.
• There was an infection prevention and control policy; and procedures were in place to reduce the risk and spread of infection.
• The service encouraged and valued feedback from clients and staff.
• Feedback from clients was positive.
• The provider shared knowledge with the wider community through journals, attending education events and training and networking with other clinical professionals specialising in travel.

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

• Consider formalising a risk assessment for the requirement of oxygen and the chemicals used for cleaning.
• Review the frequency of infection control audits.