We see adults and children of all ages even those with pre-existing ear conditions
Clinical Governance
Overview
Clarity Ear Care is a routine aural care clinic held at The Self Center, Kempson Way, Bury Saint Edmunds IP32 7AR.
We are a team of NHS professionals who are specialists in our field of ENT and Audiology. Over recent months we have become aware there is a gap in wax removal services. When patients aren’t able to use hearing aids or are suffering from the effects of impacted wax there are limited options for patients to get wax issues resolved, often resulting in further complications of the ear. This clinic is fully insured and our staff are registered with the following professional bodies:
RCCP, NMC, and GMC
We also meet all of the latest regulations and guidelines provided for the services we carry out.
As with all clinical service provision, governance is an essential element of the provision of a safe service that meets all the requirements of clinical excellence.
Objectives
● provision and maintenance of high quality care
● provision of the service on a routine and regular (and possibly emergency) basis
● consultation and co-operation with other health care professionals concerning the provision of the service
● conduct of professional activities in accordance with the standards set by relevant professional organisations
● compliance with all relevant health and safety regulations
● provision of a courteous and considerate service to patients including the need to respect privacy, confidentiality, diversity and human rights.
Strategic capacity and capability;
Including planning, communication and governance arrangements and cultural behavior aspects:
● Whilst the overall direction of the organisation will be the responsibility of the directors, the robustness of clinical governance and the ability to provide a safe and effective clinical service must be considered before any changes are made to the size or structure of the company.
Staff management and performance;
Recruitment, workforce planning and appraisals:
Any professional performing microsuction will be registered with one of the following professional body;
General Medical Council (GMC)
Nursing And Midwifery Council (NMC)
Registration Council For Clinical Physiologists (RCCP)
● All staff will have undergone specific training and been assessed as competent to undertake ear examination, assessment, treatment and, give advice regarding management options and the administration of ear drops as appropriate
● All healthcare professionals must exercise their own professional judgement when using these guidelines. However, any decision to vary from the guideline should be documented in the patient’s records to include the reason for variance and the subsequent action taken.
● All staff conducting clinical work will be covered by a company indemnity
History taking and Assessment: Prior to examination of the ear it is essential to talk to the patient and / or their carer to obtain a detailed history and provide explanation of any examination or procedures. The service user should be fully informed of possible complications of the procedure and effects of microsuction, to ensure that the patient understands and gives consent.
Document the assessment and relevant history on the Patient's Record.
Assessment Form: The form should include a patient's personal identification details, including name, date of birth,address or NHS number.
Past medical history should be documented, including existing long term conditions, current medication that is relevant or could affect the procedure, allergy status and present or previous occupation.
Detailed ENT history should be taken to include the following:
● Grommets
● Recent ear infection
● Mastoid problem
● Any ear surgery
● Perforated ear drum
● Ear pain
● Ear discharge
● Tinnitus
● Vertigo
● Itchy ears
● Hearing aid
● Hearing loss
● Previous ear irrigation
● Previous microsuction
Details of the current presenting problem and any symptoms being experienced by the patient should be documented.
Examination and Treatment: The examination and treatment will be documented as per the retained medical record.
On-going patient advice:
● Give advice to patients regarding ongoing ear care
● If wax has been removed due to the presenting complaint of hearing loss, they should check whether good hearing is restored after treatment. Patients will be advised to see their GP if hearing is still reduced after the procedure.
● Advise patients that wax protects the ear and that the ear is self-cleaning and does not need patients to remove with self care.
● Ear candles are not a safe option of wax removal as they may result in serious injury.
● To prevent build-up of excessive wax, if this is a recurrent problem, it may be helpful to instil olive oil into the ear canal.
Cleaning, Disinfection and Sterilisation
Clear guidelines will be in place to maintain a safe and clean environment.
Patient, public and carer involvement;
Compliments and complaints: A record will be kept of all compliments and complaints:
Complaints Process: Good complaints management is an integral component of good governance and quality management.
Clarity Ear Care is a member of The Independent Healthcare Sector Complaints Adjudication Service (ISCAS), and follows its code of conduct.
Risk management
Clarity Ear Care will meet the Level 1 requirements of risk management, which in broad terms focus on the following areas:
● Risk management strategy, and framework for implementing risk management policies
● Risk assessment and prioritised risk action planning
● Monitoring and review of performance management
● Processes for managing, recording and analysing complaints, comments and adverse events
● Information on the risks and benefits of treatment and informed consent
● Operational risks – clinical and non-clinical
● Record keeping – clinical and non-clinical
● Human resources, recruitment, induction and lifelong learning
Team working within the service;
Working with senior managers, clinical and multi-disciplinary teams and across organisations. Independent practitioners have a professional responsibility to interact with other health care professionals and to seek feedback.
Governance Board:
Clarity Ear Care will have a governance Board for the Ear Clinic which will:
● Include clinicians, and Directors
● Meet on a regular basis (at least once every 6 months)
● Monitor and maintain the governance standards outlined above
Clarity Ear Care
The Self Centre, Kempson Way, Moreton Hall, Bury St.Edmunds, IP32 7AR
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