• Doctor
  • Independent doctor

Archived: Waterloo

Overall: Good read more about inspection ratings

Waterloo Business Centre, 117 Waterloo Road, London, SE1 8UL (020) 7183 0553

Provided and run by:
The Doctors Clinic Group Ltd

Latest inspection summary

On this page

Background to this inspection

Updated 2 October 2019

The registered provider of the service is London Doctors Clinic Limited, which is an independent provider of private general practitioner services from 14 sites in central London.

Three of these 14 sites are registered as satellite sites to the main Waterloo location, which is at Mercury House, 117 Waterloo Road, London SE1 8UL. This is within the London borough of Lambeth. We visited this site as part of the inspection.

The three satellite sites are located at:

Barbican: 131 Aldersgate Street, London EC1A 4JQ.

Holborn: 233 High Holborn, London WC1V 7DN.

Marylebone: 136 Harley Street, London W1G 7JZ.

We visited the three satellite sites as part of the inspection. This was to review the premises only; no staff or patients were spoken with at these sites.

The remaining nine sites are registered as separate locations. Therefore, they were not included as part of this inspection.

The service provides general practice services which are available to any fee-paying patient. This includes adults and children of any age; however, most patients are adults. Services are offered on an appointment basis only; there is no provision of a walk-in service.

The service is registered with the CQC to undertake the following regulated activities:

  • Treatment of Disease, Disorder or Injury.
  • Diagnostic and Screening Services.
  • Maternity and Midwifery Services.

Services provided include blood tests; certificates and medicals; sporting medical certificates; allergy treatments; immigration and visa medicals; travel services; and sexual health services.

London Doctors Clinic has approximately 70,000 patients registered across all 14 sites. These are patients that have been seen at least once across the organisation. Approximately 5,000 patients are seen across all 14 sites per month.

Of the 40 doctors that work for London Doctors Clinic Limited across all 14 sites, 10 work regularly at the Waterloo site and three satellite sites. All clinical staff are doctors; there are no nurses working at the service.

Each separate site has a Clinic Manager who also carries out site management, administrative and reception duties. Clinic Managers sometimes work across different sites across the organisation.

Service provision at all sites is supported by a corporate team which includes dedicated management, governance, quality assurance and administrative functions.

Services are generally provided from 8am to 8pm seven days a week. Actual appointment availability may sometimes vary at different sites, depending on doctors’ working patterns. Appointments can be made by using a central telephone number, or through an online booking system accessible through the organisation’s website.

Video consultations are available if requested, but the numbers of these provided across the organisation are currently very small. Telephone consultations and home visits are not available.

The service does not offer out of hours services on the premises, but on-call doctors are available to discuss ongoing care with existing patients outside of opening hours.

The main location and three satellite sites are located within serviced offices (Waterloo) or dedicated health centres or clinics (Barbican, Holborn and Marylebone). Each site is fully accessible with disabled access via lifts and/or ramps. Each site is located within a five minute or less walk from major London transport hubs.

The service website address is: https://www.londondoctorsclinic.co.uk

How we inspected this service

We reviewed information about the service in advance of our inspection visit. This included:

  • Data and other information we held about the service.
  • Material we requested and received directly from the service ahead of the inspection.
  • Information available on the service’s website.
  • Patient feedback and reviews accessible on various websites.

During the inspection visit we undertook a range of approaches. This included interviewing clinical and non-clinical staff, reviewing feedback from patients who had used the service, reviewing documents, examining electronic systems, and assessing the building and equipment.

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 2 October 2019

This service is rated as Good overall. (Previous inspection 14 March 2018.)

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 inspection at London Doctors Clinic Limited, Waterloo on 19 June 2019 as part of our current inspection programme. We previously inspected this service on 14 March 2018 using our previous methodology, where we did not apply ratings.

London Doctors Clinic Limited, Waterloo is an independent doctors service which provides private general medicine services on a single-visit basis (the service does not regularly manage long-term conditions). All services are private and subject to payment of fees. No NHS services are provided.

The senior manager of the company 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.

We received four completed CQC comment cards which were all consistently positive about the service. Patients commented that the doctors were attentive, caring and professional.

Our key findings were:

  • The service provided care in a way that kept patients safe and protected them from avoidable harm.
  • There was an open and transparent approach to safety and a system in place for recording, reporting and learning from significant events and incidents. The service had clear systems to manage risk so that safety incidents were less likely to happen. When incidents happened, the service learned from them and reviewed their processes to implement improvements.
  • There were clearly defined and embedded systems, processes and practices to keep people safe and safeguarded from abuse, and for identifying and mitigating risks of health and safety.
  • Patients received effective care and treatment that met their needs.
  • The service organised and delivered services to meet patients’ needs. Patients said that they could access care and treatment in a timely way.
  • The service reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines and best practice.
  • Patients told us that all staff treated them with kindness and respect and that they felt involved in discussions about their care and treatment options.
  • Doctors had the appropriate skills, knowledge and experience to deliver effective care and treatment.
  • The service took complaints and concerns seriously and responded to them appropriately to improve the quality of care.

We saw an example of outstanding practice:

The service had a comprehensive and effective approach to managing and responding to patient feedback and complaints:

  • All patients were sent a questionnaire to complete following each consultation they received. Feedback was collated and analysed at an organisational level.
  • Feedback was sent to doctors immediately, and doctors also received detailed monthly summaries of their feedback.
  • All patient feedback that scored less than four or five overall (out of five), or any feedback containing any negative comments, was classified as a complaint and handled according to the organisation’s complaints arrangements.
  • The organisation used feedback and complaints to inform staff training and development.

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