Quality Report

Quality Assurance Report September 2017

Quality Assurance Report

The Melbury Clinic publishes a monthly Quality Assurance (QA) report to demonstrate to members of the public and to referring doctors and other healthcare professionals just how seriously we take Quality and Safety. In addition, we monitor our performance over time and against standards which we have set ourselves as well as against independent national standards whenever they might apply. The Clinic Manger introduced this initiative at the beginning of the year.

The QA report for September is published below. You can see that we monitor accidents, incidents, near misses and complications such as infections and admissions to hospital. The Clinic Manager has a robust system for recording such events, analysing them at our Clinical Governance Meetings and disseminating lessons learned to all members of staff so that patient safety is continuously improved. The Manager also monitors our performance against national guidelines such as those from the National Institute of Health and Care Excellence. In the light of this information, modifications may be made through changes in our policies and procedures.

Quality Monitoring

In our QA report below, you will also see how we monitor quality and how we make changes. The Clinic has set itself a zero tolerance for complications in areas such as deep vein thrombosis (DVT), collapse, infection, allergic reactions, medication errors and emergency admission to hospital. Our report shows that the Clinic met our quality targets in September in all areas. The Clinic also monitors the Quality of the Vein Treatments against NICE Guidance QS67.

This month’s QA report also gives information about the feedback we have received, audits undertaken, meetings held and improvements made.

  • No complaints were received and feedback from a variety of sources has been very positive.
  • A Chaperone audit was completed in September. All patients seen during this month were appropriately chaperoned and check-list forms were received and reviewed in all cases.
  • The Clinic manager completed an audit of the premises and no safety issues were identified.
  • Storage temperatures for all pharmaceuticals were within the recommended range.
  • Staff training continues.
  • The safety of patients within the clinical pathway was reviewed by all staff.
  • Additional staff were recruited in August and a comprehensive induction programme was completed in September including mandatory training, record keeping and diary systems.
  • The treatment room was deep cleaned, the fire extinguishers were serviced and a fire drill was carried out.
  • Safe guarding and duty of candour training was completed.

September 2017 QA

Get In Touch and Send Us Your Feedback

If you would like more information about any aspect of our QA report, do please contact us.  In addition, if you would like to send us feedback about your care at The Melbury Clinic, positive or negative, we are always pleased to hear from you.

There are many ways for you to give feedback

  • calling us by telephone – 01935 873951
  • verbally to any member of staff
  • using the contact form on the website
  • filling our survey form
  • sending feedback directly to our regulator, the Care Quality Commission
  • On the independent website, IWantGreatCare
  • making a complaint

Previous Quality Assurance Reports

January

February

March

April

May

June

July

August

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