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Inspection carried out on 25 June 2019

During a routine inspection

This service is rated as Good overall. (Previous inspection 16 November 2017.)

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 Pimlico Health Centre on 25 June 2019 as part of our current inspection programme. We previously inspected this service on 16 November 2017 using our previous methodology, where we did not apply ratings.

Pimlico Health Centre is an independent GP service which provides private general medicine services. Services are available to any fee-paying patient of any age, with the exception of patients registered with the NHS GP practice the service operates from.

The lead doctor 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.

Due to the limited number of patients using the service near the time of the inspection we did not receive any completed CQC comment cards. We were not able to interview any patients on the day of the inspection as none attended the service.

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.
  • Feedback made to the service indicated that patients felt they were treated with kindness and respect, and that they felt involved in discussions about their treatment options.
  • Doctors had the appropriate skills, knowledge and experience to deliver effective care and treatment.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 16 November 2017

During a routine inspection

We carried out an announced comprehensive inspection on 16 November 2017 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.

Background

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.

Marylebone Medical Group Limited provides private GP services from its location, Marylebone Medical Group Limited, operating as Pimlico Health Centre, based at Paxall Pharmacy, 44 Lupus Street, London, SW1V 3EB. The purpose built premises also accommodates a NHS GP Practice and a Pharmacy.

Marylebone Medical Group Limited provides private GP services which are available to any fee paying patient of any age with the exception of patients registered with the NHS GP practice the service operates from.

Patients using services provided by Marylebone Medical Group Limited contact the pharmacist based at Paxall Pharmacy and contracted to provide services on behalf of Marylebone Medical Group Limited. Patients requiring or requesting a private GP appointment book through the pharmacy. Patients are seen by the GP from a clinical consulting room within the adjacent NHS GP Practice.

The service is operated by one GP supported by a service manager and a pharmacist. Those staff who are required to register with a professional body were registered with a licence to practice.

The service is open Monday to Friday from 9am until 7pm and on Saturdays from 10am until 2pm. The service does not offer out of hours services.

The service has a registered manager, 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 is registered with the Care Quality Commission (CQC) to provide the regulated activities surgical procedures and treatment of disease, disorder or injury.

As part of our inspection we asked for CQC comment cards to be completed by patients prior to our inspection; however the service had not had any patients in the timeframe to provide any feedback. We were also unable to interview patients as none were booked to attend the service during the inspection. The provider had not received any positive or negative feedback, suggestions or complaints from the six patients the service had seen since January 2017 when the service began.

Our key findings were:

  • The provider had a clear vision to deliver high quality care for patients.
  • There were systems and processes in place for reporting and recording significant events and sharing lessons to make sure action could be taken to improve safety in the practice.
  • The service had clearly defined systems, processes and practices to minimise risks to patient safety.
  • The service had adequate arrangements to respond to emergencies and major incidents.
  • Staff were aware of and used current evidence based guidance relevant to their area of expertise to provide effective care.
  • Staff had the skills and knowledge to deliver effective care and treatment.
  • Staff sought and recorded patients’ consent to care and treatment in line with legislation and guidance.
  • The service had systems and processes in place to ensure that patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
  • The service had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management.
  • The service had systems in place to collect and analyse feedback from patients.