• Doctor
  • Independent doctor

Basuto Medical Centre

Overall: Good read more about inspection ratings

29 Basuto Road, London, SW6 4BJ (020) 7736 7557

Provided and run by:
Dr Hamish McMichen

Latest inspection summary

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Background to this inspection

Updated 19 July 2019

Basuto Medical Centre is an independent private GP practice founded by the principal GP in 1990 (Dr Hamish McMichen- the provider). The service is located in the residential area of Parsons Green, South West London, which lies in the London Borough of Hammersmith and Fulham. The service operates from a two-storey purpose built building with wheelchair access and accessible facilities. There are four consultation rooms on the ground floor and a further consultation room on the first floor allocated to visiting practitioners.

The service provides primary medical services to fee-paying patients. Access to services are through an individual, joint or family annual subscription plan covering up to 10 GP consultations per year, or on a pay per use basis. There are approximately 7,000 patients registered with the service, 1,000 with an annual subscription plan 6,000 subscribed to pay on use.

The clinical team includes a male principal GP, and a further three employed GPs (one male and two females) who collectively work 17 clinical sessions per week. The GPs are supported by a practice manager, personal assistant secretary and two reception/administration staff.

Additional services are offered at the premises. For example, a separately registered travel service, addiction and psychotherapy services, pain management/sports medicine and Alexandra technique services.

The service operates from 8am to 6.30pm Monday to Friday. Thirty-minute consultation appointments are available throughout the day with hour-long slots allocated for annual health checks. The service provides approximately 500 GP appointments per month.

Out-of-hour arrangements are in place with a contracted provider Monday to Thursday out of hours and at weekends.

The service provides a range of primary healthcare services. These include patient consultations, annual health assessments, immunisations, post-birth baby checks at six weeks. Patients where required are referred, to other services for diagnostic imaging and specialist care. The provider is registered to provide the following regulated activities:

  • Treatment of disease, disorder or injury and
  • Diagnostics and screening

Further details can be found at: www. basuto.com

We inspected the main location at: 29 Basuto Road, London, SW6 4BJ

How we inspected this service

A CQC inspector led the inspection, accompanied by a GP specialist advisor.

Before visiting, we looked at a range of information that we hold about the service. We reviewed the last inspection report from January 2018 and information submitted by the service in response to our provider information request.

During our visit, we spoke with a range of staff including two GPs, the practice manager and two non-clinical staff members. We reviewed the systems in place for the operation of the service, looked a sample of key policies and protocols, recruitment and training records, incidents and complaints and patient feedback.

We also made observations of the environment and infection control measures.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

  • Is it safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive to people’s needs?
  • Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Overall inspection

Good

Updated 19 July 2019

This service is rated as Good overall. (Previous inspection – January 2018- not rated)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive at Basuto Medical Centre as part of our inspection programme.

There were no breaches of legal requirements at the last inspection. However, some recommendations were made which were all addressed promptly following the inspection.

Basuto Medical Centre is an independent private GP practice founded by the principle GP in 1990. The service provides primary medical services to fee paying patients. Access to the service is either on a ‘pay as you use’ basis or by an annual subscription plan which includes a set number of consultations per year.

The principal doctor at the practice 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.

There was positive feedback from patients who use the service. We received 16 completed comment cards. Comments were all positive and included feedback about the ‘excellent’ service, helpful, caring and dedicated staff and thorough care received.

Our key findings were:

  • There was an effective system for reporting and recording significant events. The service had systems in place to identify, investigate and learn from incidents relating to the safety of patients and staff members.
  • Staff had received appropriate training according to their role.
  • Patient feedback about reception staff and clinical staff was positive.
  • Complaints had been dealt with in line with the regulations.
  • Care and treatment was provided in a modern, clean and well organised environment.
  • There were systems, processes and practices in place to safeguard patients from abuse.
  • The service had processes in place to securely share relevant information with others such as the patient’s GP and private healthcare providers.

The areas where the provider should make improvements are:

  • Continue with the planned programme of refurbishment to ensuring the treatment room areas meet infection control best practice.
  • Review systems to monitor the ambient temperatures of where medicines are stored to ensure they are stored within manufacturers guidelines.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care