We carried out an announced comprehensive inspection on 27 June 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. This was the first inspection for this provider.

Pain Solutions at Mansfield Clinic provides treatments which targets pain from musculoskeletal disorders using osteopathy, orthopaedic and sports medicine.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of providing the following regulated activity: Treatment of disease, disorder or injury.

The clinician is 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 obtained feedback from patients through 80 comment cards completed before the inspection.

Our key findings were:

• Patient feedback was very positive, patients were happy with the quality of the service provided, highly recommended the staff and service and felt supported.
• The provider had oversight of policies and procedures including health and safety and risk assessments.
• Both staff members had clearly defined job roles and communicated effectively to deliver patient-focused care.
• Patients were involved in their care and treatment and patients felt listened to and respected.
• Staff had the skills, knowledge and experience to deliver effective care and treatment.
• We observed staff members were courteous, very helpful to patients and treated them with dignity and respect.
• The service encouraged and valued feedback from patients and staff. The service had a patient participation group which was actively involved in patient education and improvement work in liaison with staff.

The areas where the provider should make improvements are:

• Review calibration testing so all suitable equipment is tested annually.
• Review the system for recording MHRA alerts and set up a spreadsheet