• Doctor
  • Independent doctor

London Circumcision Clinic

300A Bath Road, Hounslow, Middlesex, TW4 7DN 07957 394662

Provided and run by:
CEBLS Ltd

Latest inspection summary

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Background to this inspection

Updated 19 September 2018

The London Circumcision Limited is registered with the Care Quality Commission to provide the regulated activity of surgical procedures. The service operated from a rented dedicated room in a dental practice.

The service provided circumcision for religious and cultural reasons for male children from six weeks up to the age of 14 years. Local anaesthetic injections were used for the procedure.

The service was requested by parents.

At the time of our inspection the clinic staff comprised of the doctor who is the owner

of the business and one administrative staff member. The doctor is a surgeon who also works in other services in the NHS.

The clinic`s opening times were on Sundays only based on the demand of the service. When the clinic was closed the doctor`s administrative staff picked up messages which were passed onto him for action.

The provider told us they undertook 4-5 procedures a week during busy times.

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.

During our visit to the service on 9 July 2018, there were no patients present. As part of inspection, we also asked for CQC comment cards to be completed by people who used the service, prior to our inspection. We received five comment cards which were all positive about the standard of care received.

The inspection was led by a CQC inspector and a CQC GP Specialist Advisor.

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

Updated 19 September 2018

We carried out an announced comprehensive inspection on 9 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.

Our key findings were:

Our key findings were:

  • There was an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • The clinic had policies and procedures to govern activity.
  • The doctor assessed patients’ needs and delivered care appropriately.
  • Information about services and how to complain was available and easy to understand.
  • The service proactively sought feedback patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvement are:

  • Review their systems to ensure  they have access to building record checks.
  • Complete a formal risk assessment to mitigate the lack of DBS for the administrative staff.