We saw that people's care and welfare was considered through a consultation process. We looked at five people's treatment records and we spoke with three people who used the service. One person told us, “I was made to feel at ease and comfortable, everything was clearly explained.”

People were protected from the risk of abuse as staff had been trained to identify and report any areas of concern. Staff we spoke with had a good understanding of their role in relation to safeguarding vulnerable adults.

We looked at how the service managed medicines and saw that there were robust systems in place for recording medication that was used. Staff were assessed to ensure they were competent before they were able to administer medication.

At an inspection on 07 February 2013 we found that the service did not have systems in place to support the staff team. At an inspection on 11 June 2013 we saw that staff received regular one to one supervision and had access to further training. Staff we spoke with told us they felt very supported. One person told us, "The manager is great, really knows what [they're] doing."

At an inspection on 07 February 2013 we found that the service did not have systems in place to monitor the quality of service provision. However, at an inspection on 11 June 2013 we found that there were systems in place to do this which included people who had used the service being proactively sought to provide feedback

When we visited The Health Station on 07 February 2013 we found that people were asked for their consent before undergoing treatment.

We found that people's needs were assessed and they were provided treatment that was in accordance with those needs. For example, treatment and advice relating to the risks associated with particular travel destinations were provided. One person said, “They told us what the risks were and we got leaflets, one called ‘Travel well’ and one about malaria.”

Young people were protected from the risk of abuse because the staff understood child protection processes. However, the provider had no specific policy on safeguarding vulnerable adults.

We found that clinical staff received appropriate professional development but that this was not supported by an effective supervision or appraisal regime. There was also no effective appraisal system for non-clinical staff.

Although the provider had carried out a patient satisfaction and record keeping audit in April 2012 there was no evidence that actions arising from that audit had been implemented. Nor was there any evidence that the provider regularly sought the views of people using the service.

We carried out an announced focused inspection on 20 November 2018 to ask the service the following key questions; Are services safe 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 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.

CQC inspected the service on 27 March 2018 and asked the provider to make improvements. Requirement Notices were served in relation to breaches identified under Regulation 12: Safe Care and Treatment, Regulation 17: Good Governance and Regulation 18: Staffing. We checked these areas as part of this focused inspection and found they had been resolved and that the regulatory requirements were now being met.

Vaccination UK Limited 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.

Vaccination UK Limited is also commissioned to the NHS in the provision of child immunisation services.

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.

Our key findings were:

• Lessons were shared to make sure action was taken to improve safety across the service.
• There were risk assessments in relation to safety issues.
• Staff recruitment checks, induction, essential training, appraisals and supervision was recorded and undertaken in a timely manner, in most cases.
• There was a leadership structure and staff felt supported by management.
• Structures, processes and systems to support good governance and management were clearly set out, understood and effective.

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

• Continue to review the system in place to ensure documentary evidence of appropriate recruitment checks for staff members has been obtained.
• Continue to review the system in place to ensure personal developments plans are in place for all appropriate staff members.
• Continue to develop positive relationships between senior staff and teams and establish clear methods of communications across all staff locations.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice