The Care Quality Commission
  • Doctor
  • Independent doctor

Mayfair Practice

Overall: Good read more about inspection ratings

12 Lees Place, London, W1K 6LW (020) 7408 1164

Provided and run by:
Mayfair Practice Limited

Important: This service was previously registered at a different address - see old profile
Important: We are carrying out a review of quality at Mayfair Practice. We will publish a report when our review is complete. Find out more about our inspection reports.

All Inspections

1 March 2023

During an inspection looking at part of the service

This service is rated as Good overall. (Previous inspection July 2022 – Inadequate)

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 Mayfair Practice to follow-up on breaches of regulations. CQC previously inspected the service on July 2022 and required the provider to take action:

  • To ensure patients are protected from abuse and improper treatment.
  • To ensure care and treatment is provided in a safe way to patients.
  • To establish effective systems and processes to ensure good governance in accordance with the fundamental standards.

CQC also reported that the provider should make the following improvements:

  • Managers should have access to the online training platform.
  • A comprehensive induction process for new staff should be put in place.

We checked these areas as part of this comprehensive inspection and found the provider had taken action to become compliant with the regulations and to address the previously identified areas for improvement.

Mayfair Practice is an independent health clinic which provides a GP service and also specialises in aesthetic medicine and dermatology.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Mayfair Practice provides a range of non-surgical cosmetic interventions, for example facial wrinkle injections and fillers which are not within CQC’s scope of registration. Therefore, we did not inspect or report on these services.

The practice manager 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 entirely positive feedback about the service from patients we interviewed during the inspection. Patients described the doctors as caring, professional and knowledgeable and the service overall as always welcoming and friendly.

Our key findings were:

  • The service had improved systems to manage most risks so that safety incidents were less likely to happen.
  • The provider had improved its systems to learn from safety incidents.
  • Care and treatment was now being provided in a safe way.
  • The service reviewed the effectiveness and appropriateness of the care provided. There was evidence of quality improvement activity.
  • 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.
  • Patients were able to access care and treatment within an appropriate timescale for their needs.
  • The service had systems in place to collect and analyse feedback from patients.
  • There was a clear leadership structure to support good governance and management.

The areas where the provider should make improvements are:

  • The service should embed and expand clinical audit as part of its improvement activity.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Primary Medical Services

26 July 2022

During a routine inspection

This service is rated as Inadequate overall. (Previous inspection 31 October 2018 – Compliant)

The key questions are rated as:

Are services safe? – Inadequate

Are services effective? – Inadequate

Are services caring? – Good

Are services responsive? – Requires improvement

Are services well-led? – Inadequate

We carried out an announced comprehensive inspection at Mayfair Practice as part of our routine inspection programme. We inspected all five key questions.

Mayfair Practice provides a private GP service to paying patients alongside various aesthetic treatments.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Mayfair Practice provides a range of non-surgical cosmetic interventions, for example dermal fillers which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The lead clinician 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.

Our key findings were:

  • There were inadequate systems in order to assess, monitor and manage risks to patient safety.
  • There were not suitable medicines and equipment to deal with medical emergencies, including several medicines for heart attack, and paediatric defibrillator pads.
  • The service did not have reliable systems for appropriate and safe handling of medicines.
  • There were no comprehensive risk assessments in relation to safety issues and the service did not monitor or review activity in order to keep staff and patients safe.
  • The service did not learn and make improvements when things went wrong.
  • The provider did not have systems to keep clinicians up to date with current evidence-based practice.
  • There was limited quality improvement activity such as audit and professional appraisal of clinical care.
  • Clinical record keeping was insufficiently detailed and did not always include key information, for example about shared care arrangements.
  • There was no complaint process for reporting, monitoring and management of complaints.
  • Practice policies had not been adequately reviewed and updated regularly.
  • There were no systems of accountability to support good governance and management.
  • There was no clarity around processes for managing risks, issues and performance.
  • Confidential data was not always stored appropriately.
  • There was no use of external review to monitor performance quality.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

  • Managerial access to the online training platform should be rectified.
  • A comprehensive induction process for new staff should be put in place.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

31 October 2018

During a routine inspection

We carried out an announced comprehensive inspection on 31 October 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.

Mayfair Practice provides private GP consultations for residents of the area and to people working or staying in London.

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.

The owner 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 six patients provided feedback about the service. All the comments we received were positive about the service, for example describing the doctor as knowledgeable and supportive.

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 service had arrangements in place to respond to medical emergencies.
  • There was a clear vision to provide a personalised, high quality service.
  • The patient feedback we received indicated that patients were very satisfied with the service they received.

Professor Steve Field

CBE FRCP FFPH FRCGPChief Inspector of General Practice

7 January 2014

During a routine inspection

We did not speak to people using the service as there were no patients at the time we visited the clinic but we saw evidence from written feedback that people were happy with the service and a number of families had been using the practice for many years. We saw comments from people saying that the practice provided "excellent service", and that the doctor was "kind and compassionate" and "very knowledgeable".

Consent was sought before people received treatment. This was verbal consent for physical examinations. Written consent was obtained prior to any surgical procedure using specific consent forms which were kept on people's files.

Care and treatment was planned in such a way as to ensure people's safety and welfare.

The practice was clean and well maintained. There were systems in place to reduce the risk of infection in line with the practice's policy. Medicines and vaccines kept on site were appropriately managed.

There was a written complaints policy in place and people were given information about how to make a complaint. No complaints had been received in the past year.