Archived: Urban Medical Clinic Limited

Updated 25 April 2018

Urban Medical Clinic Limited is a cosmetic and primary care clinic operated by an individual provider who is a qualified GP. There are no other staff members. The clinic offers primary care appointments with onward referral to diagnostic and specialist services as appropriate. The service treats adults only. The clinic offers appointments at the following times:

Monday 3pm - 9pm

Tuesday 6.30pm - 10pm

Wednesday 6.30pm - 10pm

Thursday 6.30pm - 10pm

Friday 6.30pm - 10pm

Saturday 3pm – 9pm

Sunday 3pm – 9pm

Patients are also given mobile contact details for the doctor.

The clinic has a registered patient list. Thirty-three patients in total have attended primary care consultations at the clinic. Patients attend the clinic through word of mouth recommendation and comprise local residents; patients who work in London; and, international visitors. The clinic predominantly provides cosmetic consultations specializing in the fields of dermatology and gynecology. The cosmetic service falls outside the scope of CQC regulation and this inspection.

The clinic is in a serviced office building. There is a single consultation room on the first floor which is accessible by a lift and stairs. There is a shared waiting area on the ground floor and an office reception desk which is staffed by a security official in the evening. The landlord provides a range of property services, for example cleaning and maintenance.

We carried out this inspection of the Urban Medical Clinic on 4 April 2018. The inspection team comprised one CQC inspector and a GP specialist advisor. Before visiting, we reviewed a range of information we hold about the service and asked the service to send us some information about the service which we also reviewed.

During our visit we:

• Spoke with the doctor.
• Reviewed documentary evidence relating to the service and inspected the facilities, equipment and security arrangements.
• We reviewed several patient records alongside the doctor. We needed to do this to understand how the service assessed and documented patients’ needs, consent and any treatment required.
• Reviewed three comment cards completed by patients in the days running up to the inspection.

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 formed the framework for the areas we looked at during the inspection.

Updated 25 April 2018

We carried out an announced comprehensive inspection on 4 April 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.

Urban Medical Clinic offers primary care appointments with a doctor with onward referral to diagnostic and specialist services if appropriate. The doctor is a qualified GP and is the sole clinician and staff member at the clinic. The service treats adults only.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner. Urban Medical Clinic predominantly provides aesthetic cosmetic treatments which are exempt by law from CQC regulation. Therefore, we were only able to inspect the primary medical service and not the aesthetic cosmetic services.

The doctor is the registered manager of the clinic. 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.

Our key findings were:

• Systems were in place to protect people from avoidable harm and abuse.
• There were systems in place to identify, review and learn from mistakes or incidents. The doctor understood their responsibilities under the duty of candour.
• The doctor was aware of current evidence based guidance.
• The doctor was qualified and had the skills, experience and knowledge to deliver effective care and treatment.
• Patient feedback indicated that patients were very satisfied with the service.
• Information about services and how to complain was available.
• The doctor had a clear vision to provide a high quality, personalised service.
• There were systems in place to monitor and improve the quality of service provision.

There were areas where the provider could make improvements and should:

• Review their prescription recording to ensure all necessary details are documented consistently on both the prescription and in the patient record.