The Care Quality Commission
  • Doctor
  • Independent doctor

Transcend Consulting Rooms

Overall: Good read more about inspection ratings

65 Warren Drive North, Surbiton, KT5 9LG (020) 3441 2341

Provided and run by:
Mr Anwar Moin Khan

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Transcend Consulting Rooms 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 Transcend Consulting Rooms, you can give feedback on this service.

22 October 2020

During a routine inspection

This service is rated as Good overall. We had previously carried out an announced comprehensive inspection of Transcend Consulting Rooms on 28 August 2019. At that time the service was rated as inadequate overall, and in safe, and requires improvement for effective and well led. Caring and responsive were not rated. The specific issues that were found to be in breach of CQC regulations were:

  • The service did not hold training records for all staff, the only training that the service held for the person assisting with the surgery was child safeguarding (which was not at a sufficient level) and fire safety.
  • Clinical records at the service were not contemporaneous. The service utilised a proforma template which was amended as required. However, in some cases actions were not clearly recorded.
  • The service did not minute its meetings and there were no formalised means by which issues such as significant events and safeguarding could be discussed.
  • The service did not have a robust system in place for checking the identity of patients' parents. As a consequence, they could not be assured that consent had been adequately requested, and if a safeguarding referral was required, they could not be assured that it was correctly made.
  • The service provided a letter to GPs after the procedure but did not retain a copy of this on the clinical record.
  • The service did not record the batch number or dosage of local anaesthetics used during circumcision procedures.
  • The service did not have a formalised significant events system.
  • The service did not consistently ask for the consent of all those with parental responsibility and did not check their identification. Where the patient ought to have been asked for consent, this was not recorded.

Following the inspection of 28 August 2019, the practice was placed into special measures.

We carried out an announced comprehensive inspection at Transcend Consulting Rooms on 22 October 2020. We are mindful of the impact of COVID-19 pandemic on our regulatory function. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so. Following this inspection, the key questions are rated as:

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

At this inspection we found that the practice had addressed all of the issues from the previous inspection.

We found that:

  • The service provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The service organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The areas where the provider should make improvements are:

  • The service should review the current process of utilising family members as translators.
  • The service should review the process and storage of information sent to the service by patients post-operatively.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care

28 August 2019

During a routine inspection

This service is rated as inadequate.

The key questions are rated as:

Are services safe? – Inadequate

Are services effective? – Requires improvement

Are services caring? – Not rated

Are services responsive? – Not rated

Are services well-led? – Requires improvement

We carried out this announced comprehensive inspection at Transcend Consulting rooms on 28 August 2019.

At this inspection we found that the practice had breached regulations relating to the safe, effective and well led.

We found that:

  • The service provided care in a way that did not keep patients safe and protect them from avoidable harm.
  • Patients received effective care and treatment that met their needs in some areas, but in other areas the service was unable to demonstrate that effective care was provided.
  • The service did not have governance systems in place to ensure that it was led and managed such that it promoted the delivery of high-quality, person-centre care.

We identified a regulation that was not being met and the provider must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Ensure systems and processes are established and operated effectively to ensure compliance with the requirements of good governance.

There were areas where the provider could make improvements and should:

  • Develop a plan for quality improvement at the service.
  • Document clearly all interactions with a patient’s GP.
  • Provide the cleaner with a cleaning schedule to be signed following cleaning.

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 Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care