• Doctor
  • Independent doctor

Palmers Green Clinic

Overall: Good read more about inspection ratings

265 Green Lanes, London, N13 4XE

Provided and run by:
Klinika Limited

All Inspections

During an assessment under our new approach

Palmers Green Clinic is a private doctor service based in North London and provides services on a private, fee-paying basis. The Service is part of Klinika Limited who also operate a service in East London which was not assessed at this time.

Services are provided to patients originating from Eastern European countries. They provide the following services, GP consultations, a range of blood tests and diagnostic screening. They do not provide childhood immunisations.

The service employs two doctors, a physiotherapist, who is also the managing director of the company, two administrators, one of whom also has a role as a healthcare assistant and is a trained phlebotomist.

The service had a learning culture and people could raise concerns. Systems were in place to investigate incidents thoroughly. People were protected and kept safe. Risks were understood. The facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care. Staff managed medicines well and involved people in planning any changes.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people, such as family members or carers when taking decisions in people’s best interests where they did not have capacity.

People were treated with kindness and compassion. Their privacy and dignity was protected. They were treated as individuals and supported their preferences. People had choice in their care and treatment.

People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. People were involved in planning their care and understood options around choosing to withdraw or not receive care.

The service had a vision and culture based on listening, learning and trust. The doctors were knowledgeable and supportive. Appropriate systems of governance were in place for when the service expanded. There was a culture of continuous improvement.

20 June 2019

During a routine inspection

This service is rated as Good overall. The service was previously inspected in March 2018. At that inspection we found it to be meeting requirements for all domains although we found areas where improvements could be made.

The key questions at this inspection 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 Palmers Green Clinic on 20 June 2019 as part of our ratings inspection programme for Independent Health Providers.

At this inspection we found:

  • The practice had effective systems in place to keep patients safe from harm. There were effective systems for monitoring service provision to ensure it was safe.
  • Clear procedures and protocols were in place and the provider had processes in place to ensure risks were clearly identified and mitigated against.
  • Care and treatment was delivered in accordance with evidence-based guidelines although quality improvement activity was limited.
  • Patients were treated with kindness, respect and compassion. Their privacy and dignity was respected and they were involved in decisions about their care and treatment.
  • Services were organised and delivered to meet patients’ needs. Patients could access care and treatment in a timely way.
  • There was a culture of high-quality, sustainable care. The service encouraged feedback from patients

The areas where the provider should make improvements are:

  • Follow through with planned quality improvement activity with a view to ensuring patient consultation notes included sufficient information to support continuity of care.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

28 March 2018

During a routine inspection

We carried out an announced comprehensive inspection on 28 March 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.

The Palmers Green Clinic provides a private general practice to the East European communities from countries including Russia, Lithuanian and Bulgaria.

The company director of Klinika 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.

Twenty nine people provided positive feedback about the service.

Our key findings were:

  • The service had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service had a system to learn from them and improve.
  • 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.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Services were provided to meet the needs of patients.
  • Patient feedback for the services offered was consistently positive.
  • There were clear responsibilities, roles and systems of accountability to support good governance and management.

There were areas where the provider could make improvements and should

  • Review the business continuity plan.
  • Review the way patients are made aware of access to chaperones.
  • Review systems for monitoring safety alerts.

11 December 2012

During a routine inspection

People told us they were very satisfied with the service they received at Palmers Green Clinic. They confirmed that they had enough information about their treatment and felt that they could always ask more questions if they needed to. One person commented, 'I always get the service I need.'

All staff and doctors were originally from Eastern Europe and told us they spoke a number of languages such as Russian, Lithuanian, Polish and Romanian. The registered manager told us that most patients came from Eastern Europe, however, there were also a number of local people who used the service.

People told us that they had been treated with dignity and respect and their views were taken into account during consultation and treatment. They could also raise a concern if they had one. One person told us that if they had any concerns, 'I would call the clinic. I feel they would be happy to help.'

We saw evidence that recruitment procedures for staff were being appropriately followed so that people who use the service were protected from unsuitable staff being employed at the clinic.

We saw that the clinic sent regular quality monitoring surveys to people using the service to see if they had any concerns or suggestions for improvement. The responses from people using the service were very positive and comments included, 'I am very happy with the service provided.' All the completed surveys indicated that the respondent would recommend the clinic to others.