We carried out an announced comprehensive inspection on 21 May 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.

The Globe Travel Health Centre is a private clinic providing travel health advice, travel and non-travel vaccines, blood tests for antibody screening and travel medicines such as anti-malarial medicines to children and adults. In addition, the clinic holds a licence to administer yellow fever vaccines.

This location is registered with CQC in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines for the purposes of travel health.

The clinic is registered with the Care Quality Commission under the Health and Social Care Act 2008 to provide the following regulated activities:

• Diagnostic and screening procedures.
• Treatment of disease, disorder or injury.

The Clinical Director 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.

As part of our inspection we asked for Care Quality Commission comment cards to be completed by patients prior to our inspection. We received 26 completed comment cards which were wholly positive about the standard of care received. Patients reported staff were kind, knowledgeable, friendly, professional and caring. There were several comments relating to how informative the consultation process was.

Our key findings were:

• The clinic had clear systems to manage risk so that safety incidents were less likely to happen. The provider discussed any incidents with the wider corporate team where lessons learned were shared to improve their processes across locations.
• The provider ensured nurses were signed up to receive both safety alerts and foreign office notifications.
• The provider ensured that care and treatment was delivered according to evidence based guidelines and up to date travel health information.
• Staff had the relevant skills, knowledge and experience to deliver the care and treatment offered by the service.
• There was an infection prevention and control policy and procedures were in place to reduce the risk and spread of infection.
• Vaccines, medicines and emergency equipment were safely managed. There were clear auditable trails relating to stock control and fridge temperature monitoring.
• Consultations were comprehensive and undertaken in a professional manner. Patients commented on how informative consultations were.
• The service encouraged and valued feedback from patients and staff.
• Staff involved and treated patients with compassion, kindness, dignity and respect. Care Quality Commission comment cards completed by patients prior to our inspection were all positive about the standard of care received. They told us the nurses were caring, friendly, and professional.
• There was a leadership structure in place with clear responsibilities, roles and systems of accountability to support good governance and management. Staff felt supported by the leadership team and worked well together as a team.