1 October 2018
The service offers a combination of medical services, sports and exercise medicine, health improvement, disease prevention and screening. They offer appointments with physicians, physiotherapists and physiologists with referral to specialist services as required. The service is open on a Monday to Wednesday 7.30am to 8.30pm, Thursday 7.30am.to 8pm and Friday 7.30am to 6.30pm.
The service treats adults and children over the age of thirteen. Patients can book appointments by telephone, email or in person. The practice estimates that it sees 30 – 60 patients a day.
Patient facilities are provided in the basement of the building which can only be accessed via steps. The staff team include a managing director, practice manager, physiologist, one full time administrator and a receptionist. The physicians, physiotherapist and nutritionists are self-employed.
The provider is registered with CQC to carry out regulated activities of Treatment of disease, disorder and injury and Diagnostic and screening.
The landlord provides a range of property services such as building risk assessments and health and safety checks.
We carried out this inspection on 30 August 2018. The inspection team comprised of a CQC inspector and a GP specialist advisor.
Before visiting, we reviewed a range of information we hold about the service and asked the practice to send us some information about the service which we also reviewed.
During our visit we:
- Spoke with a physiotherapist, physiologist, managing director and an administrator.
- Reviewed comment cards where patients had shared their views and experiences of the service in the days running up to the inspection.
- Reviewed documentary evidence relating to the service and inspected the facilities, equipment and security arrangements.
- We reviewed a number of patient records alongside the physiologist. We needed to do this to understand how the service assessed and documented patients’ needs, consent and any treatment required.
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.
1 October 2018
We carried out an announced comprehensive inspection on 30 August 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.
The provider Centre for Health and Human Performance Ltd has one location registered as CHHP Ltd in London. The service combines medical services, sports and exercise medicine, health improvement, disease prevention and screening. There is a fully equipped cardio-pulmonary exercise testing and fitness training laboratory in-house, and three treatment rooms. The services are provided by a team of doctors and other therapists.
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, including the prescribing of medicines.
One of the owners 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.
Thirty three patients provided feedback about the service. All the comments we received were positive about the service, for example describing the therapists as excellent, welcoming and friendly.
Our key findings were:
- The clinicians were aware of current evidence based guidance and had the skills and knowledge to deliver effective care and treatment.
- The provider had systems in place to protect people from avoidable harm and abuse.
- The provider had effective systems in place to record, monitor, analyse and share learning from significant events.
- The service had arrangements in place to respond to medical emergencies.
- There were arrangements in place for the management of medicines.
- There was a clear vision to provide a personalised, high quality service.
- The patient feedback we received in the course of the inspection indicated that patients were satisfied with the service they received.
- Information about how to complain was available. The provider had not received any complaints about the service in the last year.
The areas where the provider should make improvements are:
- Review systems and processes for quality improvement cycles such as completed clinical audits.