We carried out a review of the data available to us about Knightsbridge Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Knightsbridge Medical Centre, you can give feedback on this service.
We carried out an announced comprehensive inspection at Knightsbridge Medical Centre on 22 November 2019 as part of our inspection programme.
We based our judgement of the quality of care at this service is on a combination of:
• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for population groups older people, long term conditions,working age, vulnerable and mental health. However, we have rated them requires improvement for families and children due to their childhood immunisation being lower than the national target.
We found:
The areas where the provider should make improvements are:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection at Knightsbridge Medical Centre on 23 September 2015. Overall the practice is rated as good.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcome Framework data, this relates to the most recent information available to the CQC at the time.
Our key findings across all the areas we inspected were as follows:
The areas where the provider should make improvement are:
Ensure that breaches of confidential patient information are reported, and patients affected are informed.
Ensure there are effective systems implemented to monitor the transfer of data from email accounts no longer in use.
Chief Inspector of General Practice
Knightsbridge Medical Centre provides GP led primary care services to around 8350 people living in the surrounding areas of Belgravia, Brompton, Knightsbridge and Kensington and Chelsea in South West London. The service is registered with the Care Quality Commission (CQC) to provide the following regulated activities: diagnostic and screening procedures; family planning; maternity and midwifery services; surgical procedures; and treatment of disease, disorder and/or injury.
We carried out an announced inspection on 11 June 2014. During the inspection we spoke with patients, the GP’s, practice manager, a district nurse, health visitor, administrative and reception staff. Following the inspection we also had contact with the practice nurse who was not available on the day of inspection.
Patients told us they were happy with the care, support and treatment provided by the practice and said they felt listened to and involved in any decision making. Staff told us the practice provided a supportive environment where learning was encouraged.
Good systems were in place to monitor and manage individual patient care and safety. Effective systems were in place to monitor health and safety, infection prevention and control and medicines management in the practice. Audits were completed and the results adequately analysed to inform improvements to the service.
We found that some areas of the service required improvement such as storage arrangements for used sharps boxes and arrangements for the disposal of urine samples to ensure the spread of infection was prevented. In addition to this we found that the keys for the controlled drugs store were not secure and therefore did not prevent unauthorised access to these drugs. We found that some clinical cases were not included in the significant events log which could enhance learning within the practice. Arrangements for the chaperone service offered did not make clear the expectations of staff or adequately inform them of what was appropriate during an examination. There was no sign alerting people to the presence of oxygen which is highly flammable, and gaps in staff employment history were not always explored prior to employment.
Good systems were in place to provide effective, care, support and treatment for older people. These took account of patients’ wishes and included joint working with other health and social care professionals.
Good systems were in place to identify and support patients with long term medical conditions. The practice was proactive in relation to offering appropriate health checks and patients were monitored to ensure their needs were met.
Mothers, babies, children and young people were effectively supported by the practice. There were systems in place to ensure children were immunised against childhood diseases and there was a baby clinic providing support to mothers and children under the age of five run by a local health visitor.
The practice had opening hours that made the service accessible to the working-age population. The practice was also in the process of offering set times for telephone consultations and was planning to provide an online appointment booking service which would also support working patients.
The practice worked effectively with multi-disciplinary teams to meet the needs of vulnerable patients. There were systems in place to monitor vulnerable individuals and to ensure appropriate information was shared with appropriate health and social care professionals to protect and support them.
Systems were in place to monitor and meet the needs of patients with a mental health diagnosis based on their individual needs and circumstances.