Private GP Clinic Ltd

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

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.

At the previous inspection, the practice was in breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, relating to safe care and treatment. Since then, the practice has implemented the required improvements. This inspection found that all areas of concern had been addressed, and the service is no longer in breach of regulations.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

Patient feedback obtained by the provider indicated that staff had the necessary skills and experience to deliver effective care, support, and treatment. Staff were encouraged to learn and develop, and there was a thorough induction program in place for all new starters.

At the previous inspection, it was noted that some staff, including those performing radiography, had no clinical audit or peer review in place. During this inspection, we saw that the radiography staff had completed an annual review with an external assessor in January 2025.

At the last inspection we found that the recruitment checks had not always been carried out in line with the practice policy. Specifically, full employment history, references, and training records were sometimes not in place prior to staff starting their employment. At this inspection, we reviewed the records for 4 staff who had started working with the service in the previous 12 months. We noted that the recruitment records and processes now met the regulatory requirements under Regulation 19 of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014.

All staff were found to be up to date with their training, and no discrepancies were identified in the mandatory training records. DBS checks had been completed for all staff before they commenced employment with the service.

The service had enough staff with the necessary qualifications and training. Staff enabled patients to have choice and control of their care and treatment.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

At the previous inspection, we noted that the recording of Controlled Drugs (CDs) usage did not fully meet requirements. Specifically, the administration of CDs was not always accurately recorded within the Controlled Drugs register, which posed potential risks to patient safety and regulatory compliance. During this inspection, we reviewed the management of CDs in detail. The practice shared records of CDs ordered, administered, and stored. We observed that all CDs were now accurately recorded in the Controlled Drugs register, including quantities administered, patient details and prescriber information.

The practice has established clear procedures for ordering, storing, and recording CDs, which are followed by staff and regularly monitored.

At the previous inspection, we found that the service lacked a clear protocol for the preparation and administration of local anaesthetic during varicose vein procedures. The provider had not clearly defined their approach to managing potential local anaesthetic toxicity, which presented a potential risk to patient safety. During this inspection, we noted that these gaps had been addressed. Details on the safe use of local anaesthesia for varicose vein procedures are now included in the practice’s policy on sedation and anaesthesia for adult procedures. The service had implemented a clear, documented approach to managing local anaesthesia safely, in line with best practice guidance.

Additionally, since the last inspection, the service had conducted local anaesthetic simulation drills. These drills evaluated staff competency in recognising and responding to local anaesthetic emergencies, ensuring that staff were prepared to manage adverse events safely.

Since the last inspection, the practice had updated their medical emergency and deteriorating person policy which now included procedures for responding to medical emergencies and assessments including staff responsibilities.