- Independent doctor
Top Medical Clinic - Birmingham
Assessment report published 4 July 2025
Contents
On this page
- Overview
- Learning culture
- Safe systems, pathways and transitions
- Safeguarding
- Involving people to manage risks
- Safe environments
- Safe and effective staffing
- Infection prevention and control
- Medicines optimisation
Safe
We assessed all quality statements in the safe key question. This is the first inspection for this service since its registration with CQC. This key question has been rated as Good. Staff were knowledgeable within their role. People were provided with support and information on their care and treatment.
Find out what we look at when we assess this area in our information about our new Single assessment framework.
Learning culture
The service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.
Safe systems, pathways and transitions
The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. For example, we saw in patient notes consent was gained to share information with the patient’s General Practitioner (GP) where necessary.
Safeguarding
The service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.
Involving people to manage risks
The service worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. We saw in patient notes patients were given advice on their treatment and possible complications.
Safe environments
The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.
Contracts were in place to ensure the premises were maintained safely and appropriately. There was a business continuity plan in place which was monitored and reviewed.
Safe and effective staffing
Staff received appropriate training relevant to their role. Recruitment checks were carried out in accordance with regulations. Staff told us they were given time and support to develop their training in specialist treatments.
Infection prevention and control
The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.
Observational audits had been completed including hand hygiene. Cleaning schedules were in place and followed. Risk assessments and audits were completed, and actions taken to mitigate risks.
Medicines optimisation
The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences.
We saw medicines were managed safely. The provider had effective systems to manage and respond to safety alerts and medicine recalls.
Emergency medicines and medical oxygen were stored safely, and the appropriate risk assessments had been completed.
However, at our first inspection visit on 1 February 2025 we found issues with the prescribing of high-risk medicines used to treat acne. At our second site visit on 28 April 2025, we found these issues had been rectified and this medicine was no longer being prescribed at this location.