We carried out an announced comprehensive inspection on 12 February 2019 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; however, in some areas further work was required to ensure that risk assessments were comprehensive and that processes were formalised into written policies and procedures.

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; however, in some areas governance arrangements had not been formalised, and therefore, there was a reliance on key members of staff being present in order for the service to run effectively.

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.

Viavi Limited provides a private health management service, comprising of a comprehensive health screening package whereby a range of tests are undertaken to provide patients with a personalised health profile which is then used as the basis for health and lifestyle intervention advice; they also provide a health advocacy service and a medical concierge service.

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 general 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 Viavi Limited the services provided which fall into the scope of CQC’s regulation are limited to the carrying-out of venepuncture and physical examinations, the analysis of test results and the prescribing of medicines. The lifestyle intervention advice provided on the basis of test results, health advocacy service and medical concierge service do not fall within the scope of CQC’s regulation; therefore, we did not inspect or report on these services.

Our key findings were:

• The practice had systems to manage risk so that safety incidents were less likely to happen; however, at the time of the inspection, in some areas these systems had not been formalised or comprehensively risk-assessed; following the inspection the practice made arrangements for these areas to be addressed.
• The practice ensured that the regulated activities being offered were delivered according to evidence based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The service was aware of the needs of its patient group and tailored its services to meet these needs.
• There was a commitment to continuous learning and improvement.

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

• Review arrangements in place for staff recruitment to ensure that policies and procedures are in place to mitigate any identified risks to patients or the business.
• Maintain newly introduced arrangements in place to identify and mitigate risks associated with infection prevention and control.
• Carry out any recommended actions in respect of the forthcoming Legionella risk assessment.
• Review arrangements in place in respect of safeguarding children, including the need for a specific policy and the training needs of staff.
• Review arrangements in place to ensure that all staff are able to easily locate key policies and procedures (for example, the significant event policy and reporting form).
• Review arrangements in place in respect of staff training in order to identify appropriate timescales for refresher training to be undertaken and to monitor compliance with these timescales.
• Review how they could ensure that patient records are retained for the required length of time, should they cease to trade.
• Review their prescribing policy, in particular in respect of the arrangements in place for prescribing medicines in circumstances where the patient has refused consent to share information with their registered GP.

Dr Rosie Benneyworth

Chief Inspector of General Practice