90 Sloane Street Limited

Updated 24 August 2018

90 Sloane Street Limited also operates under the provider 90 Sloane Street Limited. The provider is registered with the Care Quality Commission to carry out the regulated activities of treatment of disease, disorder or injury and diagnostic and screening procedures.

Dr Michael Sandberg 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.

The service consists of five GPs, a cardiac physiologist, two physiotherapists, a practice manager, an ultrasound manager, an audits manager, four secretaries and two receptionists. The service also has some consultant specialists who they work alongside.

The service is open Monday to Friday from 8:30am to 5:30pm except for Fridays when it opens at 8am. Appointments last half an hour and appointment times are from 8:30am to 5:30pm and there are 8am appointments available on a Friday. The service worked with two local independent health GP services to provide out of hours care to their patients. Services provided include cardiology, oncology, gynaecology, physiotherapy and dermatology.

Patient records are all computer based. The service refers patients when necessary to other private and NHS providers as well as back to the patient’s GP.

Prior to the inspection we reviewed information requested from the provider about the services they were providing. The inspection was undertaken on 24 July 2018 and the inspection team was led by a CQC inspector who was supported by a GP specialist advisor. During the inspection, we spoke GPs, the cardiac physiologist, the practice manager and reception staff members. We viewed a sample of key policies and procedures, viewed a sample of patient records, made observations of the environment and infection and prevention control measures and reviewed completed CQC patient comment cards.

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 24 August 2018

We carried out an announced comprehensive inspection on 24 July 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 service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

90 Sloane Street Limited is an independent health service based in Chelsea, where examples of services carried out are cardiology, oncology, dermatology, physiotherapy and gynaecology.

Our key findings were:

• Systems were in place to keep patients safe and safeguarded from abuse.
• There were systems in place for clinical staff to be kept up to date with evidence based guidelines and practices.
• Ten percent of cardiology procedures such as ECGs and stress Echoes’ were independently audited.
• Medicines were managed and monitored a way that kept patients safe.
• There was a comprehensive programme of quality improvement including clinical audits.
• There were systems to update external bodies such as GPs and consultants of care and treatment being provided.
• All members of staff were up-to-date with training relevant to their role.
• There were comprehensive risk assessments to mitigate current and future risks.
• Policies and procedures to govern activity were in place and reviewed annually.
• Emergency equipment and procedures kept patients and staff safe.
• Systems were in place to protect personal information of patients.
• There was no system for checking parental responsibility for adults attending with a child.

There was one area where the provider could make improvements and should:

• Review the system for establishing parental responsibility of adults attending the service with children, such as checking identity.