Background to this inspection
Updated
23 July 2018
Roodlane Medical is located at Canary Wharf, London and part of the Roodlane Medical Limited Group, which has eight other sites. One in Birmingham and seven in Central London at: -
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Baker Street, Fleet Street, Tower Hill, Bank, New Broad Street, Tooley Street and Victoria.
Roodlane Medical Limited is part HCAHealthcare Uk. The senior management team at Roodlane Medical Limited provide the governance, management, and support systems to Roodlane Medical service at Canary Wharf. Staff employed by the provider can work between the different sites.
Roodlane Medical service at Canary Wharf, is a multidisciplinary primary care service, equipped to carry out GP appointments, health screening, occupational health, psychology service, physiotherapy and vaccination services. In the past 12 months the service had carried out 13,545 GP consultations, 2841 health screens and 212 occupational health appointments.
The staff at Roodlane Medical service at Canary Wharf, comprised of eight GPs, two psychologists, four physiotherapists, and a technician who were supported by reception staff and administration staff.
The service is open Monday, Tuesday, Wednesday, and Friday 8am to 6pm, Thursday 8am to 7pm and occasionally on Saturdays between 8am and 6pm.
When the service is closed patients are directed to NHS services or private out of hours services and HCA UK Urgent Care Centres.
How we carried out this inspection
This inspection was led by a CQC inspector, with support from a second inspector and a GP specialist advisor.
During our visit we:
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Spoke with the doctors, the management team and administration staff. We were unable to speak with physiotherapists or psychologists during the inspection, as they were not on the premises due to a maintenance issue with their consulting rooms.
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Reviewed documents.
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Reviewed 22 CQC comment cards where patients shared their views and experiences of the service.
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.
Updated
23 July 2018
We carried out an announced comprehensive inspection on 19 June 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?
Our findings were:
Are services safe?
We found that this service was providing safe care in accordance with the relevant regulations.
Are services effective?
We found that this service was providing effective care in accordance with the relevant regulations.
Are services caring?
We found that this service was providing caring services in accordance with the relevant regulations.
Are services responsive?
We found that this service was providing responsive care in accordance with the relevant regulations.
Are services well-led?
We found that this service was providing well-led care in accordance with the relevant regulations.
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Roodlane Medical services are provided to patients under arrangements made by their employer with whom the servicer user holds a policy (other than a standard health insurance policy). These types of arrangements are exempt by law from CQC regulation. Therefore, at Roodlane Medical, we were only able to inspect the services which are not arranged for patients by their employers with whom the patient holds a policy (other than a standard health insurance policy).
Dr Cohen 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.
As part of our inspection, we reviewed 22 CQC comment cards completed by patients, where patients made extremely positive comments about the staff and the service. For example, patients described the reception staff as always smiling and having a warm welcome and the doctors had treated them with dignity and respect in a questionnaire asking for their feedback.
Our key findings were:
- The clinic had clear systems to keep patients safe and safeguarded from abuse.
- There were arrangements in place for responding to medical emergencies.
There were comprehensive risk assessments in relation to safety issues.
- Staff had appropriate training for their role.
- Patients had access to their medical results online via a secure website.
- Referrals were prompt and could take place the same day as the assessment.
- Clinicians understood the requirements of legislation and guidance when considering consent and decision making.
- Staff recognised the importance of patients’ dignity and respect.
- The practice responded to the needs of patients that wanted a same day doctor appointment at a convenient time.
- Results from blood tests and external diagnostics were sent to the patient in a timely manner using the patient’s preferred method of communication.
- Leaders had the experience, capability and integrity to deliver the practice strategy and address risks to it.
- There was an effective, process to identify, understand, monitor and address current and future risks including risks to patient safety.
- The provider took steps to engage with their patient population and adapted the service in response to feedback.