Japan Green Medical Centre Limited

Updated 14 May 2020

Japan Green Medical Centre Limited (the provider) operates a private, fee-paying clinic at 10 Throgmorton Avenue, London EC2N 2DL. The provider is registered with the CQC to carry out the following regulated activities: diagnostic and screening procedures, treatment of disease, disorder or injury, maternity and midwifery services and surgical procedures.

Japan Green Medical Centre Limited provides primary healthcare services to adults and children, which include face-to-face consultations and examinations, diagnostic imaging and scanning, minor surgery, wound management and dressing, management of long-term conditions, antenatal and post-natal care, childhood immunisations and travel vaccinations (including for yellow fever) and health screening.

The service is provided predominantly, but not exclusively, to Japanese people resident or working in the UK. The provider has a clinical team comprised of eight doctors – five male and three female - who are registered with the General Medical Council, two nurses registered with the Nursing and Midwifery Council and a radiographer. Additional clinical staff, including extra radiographers, an ophthalmologist and a pharmacist are engaged under contract and via agencies, when necessary.

There is also an administrative team, whose responsibilities include finance and billing, call handing and reception.

As of our inspection on 27 February 2020, the clinic’s phones operated from 8am to 7pm, Mondays to Fridays; from 8am to 5pm on Saturdays; and from 8.30am to 5pm on Sundays and bank holidays. Clinical appointments were 20 minutes long and available between 9am to 6pm on Mondays to Fridays, including throughout the lunchtime period; and between 9am and 2pm on Saturdays.

Patients can book appointments for clinical consultations and there is a walk-in service available. Patients can also request an appointment at the provider’s other London clinic, which opens between 9am and 5pm at weekends and bank holidays and is separately registered with CQC. The provider’s website has a link to NHS Direct for health advice outside its operating hours.

The Practice Manager 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.

Updated 14 May 2020

This service is rated as Good overall. (Previous inspection June 2019 – Good).

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services well-led? – Good

We carried out an announced focussed inspection of Japan Green Medical Centre Limited (the provider) on 27 February 2020 in response to concerns raised about the quality of care being provided to paediatric patients. We had previously inspected the service in June 2019 when we found that the service was providing safe, effective, caring, responsive and well-led care in accordance with the relevant regulations. At that time the service was rated as ‘Good’ for all key questions and rated as ‘Good’ overall. The provider also operates another separately registered clinic in West London, which we inspected in November 2017.

You can read our findings from our last inspections by selecting the ‘all reports’ link for Japan Green Medical Centre on our website at https://www.cqc.org.uk/location/1-113093813/reports.

Our key findings were:

•There were adequate systems for reviewing and investigating when things went wrong.

• Leaders were knowledgeable about issues and priorities relating to the quality of the service.

The areas where the provider should make improvements are:

• Take action to ensure that all clinicians undertake Mental Capacity Act training in accordance with the provider’s Mandatory Training Policy and are aware of Gillick competence principles of consent for children.

• Take action to ensure non-clinical staff receive documented sepsis training. 

• Take action to ensure effective systems are in place for sharing learning from clinical audit with all relevant staff.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care