IPDiagnostics Ltd, a physiologist-led domiciliary diagnostic service, was rated Good overall with Requires Improvement in Safe due to a breach of Regulation 19 around recruitment checks and missing staff file records. The provider delivered comprehensive, evidence-based diagnostic care with strong leadership, clear governance and positive patient feedback, but needed to strengthen recruitment processes, parental authority verification and formal performance monitoring.
Concerns (4)
criticalGovernance: “Recruitment checks were not always carried out in accordance with regulations.”
criticalRecord keeping: “references ... and appropriate health checks ... had not been undertaken prior to employment and interview notes were not always kept in staff files.”
moderateSafeguarding: “the service did not have systems in place to assure that an adult accompanying a child had parental authority.”
minorGovernance: “the service had not formally documented internal performance monitoring or peer reviews.”
Strengths
· Detailed records kept of all patients and the diagnostic procedures they received
· Comprehensive consultations undertaken in a professional manner
· Consent procedures in place and in line with legal requirements
· Proactively gathered feedback from patients
· Provider compliant with the requirements of the Duty of Candour
Quality-Statement breakdown (26)
safe: Safety systems and processesRequires improvement
safe: Risks to patientsNot rated
safe: Information to deliver safe care and treatmentNot rated
safe: Safe and appropriate use of medicinesNot rated
safe: Track record on safety and incidentsNot rated
safe: Lessons learned and improvements madeNot rated
effective: Effective needs assessment, care and treatmentNot rated
effective: Monitoring care and treatmentNot rated
effective: Effective staffingNot rated
effective: Coordinating patient care and information sharingNot rated
effective: Supporting patients to live healthier livesNot rated
effective: Consent to care and treatmentNot rated
caring: Kindness, respect and compassionNot rated
caring: Involvement in decisions about care and treatmentNot rated
caring: Privacy and DignityNot rated
responsive: Responding to and meeting people's needsNot rated
responsive: Timely access to the serviceNot rated
responsive: Listening and learning from concerns and complaintsNot rated
well-led: Leadership capacity and capabilityNot rated
well-led: Vision and strategyNot rated
well-led: CultureNot rated
well-led: Governance arrangementsNot rated
well-led: Managing risks, issues and performanceNot rated
well-led: Appropriate and accurate informationNot rated
well-led: Engagement with patients, the public, staff and external partnersNot rated
well-led: Continuous improvement and innovationNot rated