• Doctor
  • Independent doctor

Archived: Old Street

Overall: Good read more about inspection ratings

Eagle House, 167 City Road, London, EC1V 1NR (020) 7183 0553

Provided and run by:
The Doctors Clinic Group Ltd

Latest inspection summary

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Background to this inspection

Updated 26 November 2021

London Doctors Clinic Limited (‘the provider’) is an independent doctors service, currently providing private general medical services at 23 locations across the UK, although the majority are in London.

All services are private, subject to payment of fees, and are usually used for patients with acute health issues, with long-term health conditions not being routinely managed. The service is offered to adults and children. No NHS services are provided.

The service is registered with CQC in respect of the following regulated activities: Diagnostic and screening procedures; Maternity and midwifery services; and Treatment of disease, disorder or injury.

Services provided at the clinic include: GP consultations; women’s health; referrals for imaging, investigations and procedures; health screening; blood tests; general wellness screening; and sexual health.

The services are offered on an appointment-only basis, with pre-bookable and same day appointments available. The service is open for appointments from 9am to 5.30pm Monday to Friday, although due to the COVID-19 pandemic the service’s operating hours have become more variable, with typically a minimum of two full days being provided. Patients can also be referred to the provider’s other locations in the event that the Old Street service is not operating at the relevant time. Appointments can be booked by using a central telephone number, through an online system accessible via the provider’s website: www.londondoctorsclinic.co.uk, or through the provider’s app. Doctors from across the provider’s locations work at the weekend and therefore can respond to any urgent results.

The service is situated in a serviced commercial block a short distance from Old Street station. The service is provided on the ground floor from one clinical room, with suitable access and facilities for disabled patients. There is a small reception and waiting area for patients, as well as a larger reception area for all visitors to the building.

The provider employs 10 salaried doctors who work across the different locations, with 3 or 4 regularly working at the Old Street service on a regular basis, most of whom also work within the NHS. There are no nurses or other clinicians working within the Old Street service.

Each of the provider’s location has a clinic manager who carries out service and site management, and administrative and reception duties. Clinic managers also work across the various locations. Service provision at all locations is supported by a corporate team that includes various management, governance, quality assurance, administrative and financial roles.

The provider sees approximately 1,500 patients per week across all its locations, with around 100 patients per week at the Old Street location.

How we inspected this service:

We reviewed information about the service in advance of our inspection visit. This included:

  • Data and other information we held about the service;
  • Material we requested and received directly from the service ahead of the inspection;
  • Information available on the service’s website;
  • Patient feedback and reviews accessible on various websites.

During the inspection visit we:

  • Spoke with the CQC registered manager (the provider’s Medical Director), one of the doctors working at the clinic, and a clinic manager;
  • Reviewed policies, procedures, meeting minutes and patient records;
  • Carried out checks and observations of the premises and equipment.

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 therefore formed the framework for the areas we looked at during the inspection.

Overall inspection

Good

Updated 26 November 2021

This service is rated as good overall.

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 Old Street on 16 November 2021 as part of our inspection programme.

The service is operated by London Doctors Clinic Limited (the provider), an independent doctors service providing private general medical services at 23 locations across the UK, although primarily in London. All services are private, subject to payment of fees, and are usually used for patients with acute health issues, with long-term health conditions not being routinely managed. No NHS services are provided.

The provider 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 general exemptions from regulation by CQC, relating to particular types of service and these are set out in Schedule 2 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. For example, the provider offers some services to patients under arrangements made by their employer. These types of arrangements are exempt by law from CQC regulation and therefore we were only able to inspect the services which are not arranged for patients by their employers.

The provider’s Medical Director is the CQC registered manager. A registered manager is a person who is registered with the CQC 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:

  • The service had clear systems to keep patients safe and safeguarded from abuse.
  • Staff had the information they needed to deliver safe care and treatment to patients.
  • The service had reliable systems for appropriate and safe handling of medicines.
  • The service assessed patients’ needs and delivered care in line with current standards and evidence-based guidance, and reviewed the effectiveness and appropriateness of the care provided.
  • Staff had the skills, knowledge and experience to carry out their roles.
  • The service generally treated patients with kindness, respect and compassion, and staff recognised the importance of patients’ privacy and dignity.
  • The service organised and delivered services to meet patients’ needs.
  • Patients were able to access care and treatment from the service within an acceptable timescale for their needs.
  • There was a clear leadership structure in place and staff felt supported by management.
  • The provider had a culture of high-quality sustainable care.
  • The service had a governance framework and had established effective processes for managing risks, issues and performance.
  • There were systems and processes for learning, continuous improvement and innovation.

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