We carried out an announced comprehensive inspection on 20 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 most areas 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.

Taylor-Mohrs Occupational Health Services provides an occupational health service, a travel vaccine service and a referred blood collection service (taking blood for testing at the request of other organisations) for people over 18 only. The service does not prescribe any medicines with the exception of malarone (a medicine used to prevent and treat malaria).

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Taylor-Mohrs Occupational Health Services are provided to patients under arrangements made by their employer/ a government department/an insurance company with whom the servicer user holds a policy (other than a standard health insurance policy. These types of arrangements are exempt by law from CQC regulation. Therefore, at Taylor-Mohrs Occupational Health Services, we were only able to inspect the services which are not arranged for patients by their employers/ a government department/an insurance company with whom the patient holds a policy (other than a standard health insurance policy).

A total of 50 people provided feedback about the service through the completion of comment cards. All of the comments were positive about the service; patients described the service as being professional and friendly, with several comments about patients being listened to and feeling very comfortable with the approach and manner to them from the staff.

Our key findings were:

• There was a transparent approach to safety with demonstrably effective systems in place for reporting and recording incidents.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• All consultation rooms were well organised and equipped, with good light and ventilation.
• There were systems in place to check all equipment had been serviced regularly.
• Clinicians regularly assessed patients according to appropriate guidance and standards such as those issued by the National Institute for Health and Care Excellence.
• The staff team maintained the necessary skills and competence to support the needs of patients.
• The staff team were up to date with current guidelines and were led by a proactive provider.
• Risks to patients were well managed for example, there were effective systems in place to monitor and improve the quality of patient records.
• The provider was aware of, and complied with, the requirements of the Duty of Candour.

No people were spoken to at the time of the visit because there was no clinic for health screening or medicals on that day. However, the satisfaction survey report recorded a high level of satisfaction with the service. One person said “I expected it to be excellent and it was. Thank you.” Another person stated “overall a vast improvement on my previous experience with occupational health......”

We spoke to the personal assistant to the senior partner and a registered nurse about the services provided by the clinic.

People were given all the information they needed to make an informed decision about attending and during a consultation. The satisfaction survey confirmed this.

People were assessed and tests delivered in a way to meet the needs of people who used the service. All tests were carried out by either a doctor or registered nurse.

The provider had quality assurance processes in place to ensure that equipment was maintained. However, we saw single use items that were well passed their expiry dates.

There was a complaints procedure in place that was not accessible to people using the service.

We spoke to the personal assistant of the clinic’s director and the nurse. There were no people available to speak to on the day of the visit and as people had often visited only once we did not contact them.

A recent survey of people’s views was examined. We saw that people had written, “I expected it to be excellent and it was” and “Overall a vast improvement on my previous experience with occupational health.” and “I have been treated very well, thank you.”

We saw in the written records that people using the service had come from employers who were seeking advice on matters of work related health. Also employees who had been referred for consultation or screening and private individuals who had sought health screening and/or vaccinations. We were also told by the personal assistant that medicals had been carried out on behalf of other healthcare providers on a sub-contracted basis.

We looked at four peoples records and saw that they had all signed consent forms. The personal assistant told us that people who had used the service had signed consent forms to confirm that their reports could be shared.

We looked at records that showed that the provider had audited the records of people who had used the service. This confirmed that the records were properly maintained. The nurse told us, "We keep all information in the individual records." The personal assistant told us, “It is my job to make sure that everything is filed away".