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Roodlane Medical Limited - Baker Street, part of HCA Healthcare UK Primary Care Services

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Updated 12 April 2018

We carried out an announced comprehensive inspection on 6 February 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.

Roodlane Medical Limited provides private general practitioner services.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the private medical services it provides. There are some exemptions from regulation by CQC which relate 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. At Baker Street Medical Centre services are provided to patients under arrangements made by their employer. These types of arrangements are exempt by law from CQC regulation. Therefore, at Baker Street Medical Centre, we were only able to inspect the services which are not arranged for patients by their employers.

The lead GP 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.

Thirteen people provided feedback about the service, which was wholly positive.

Our key findings were:

  • The service had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service learned from them and improved.
  • The service reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Services were provided to meet the needs of patients.
  • Patient feedback for the services offered was consistently positive.
  • There were clear responsibilities, roles and systems of accountability to support good governance and management.

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

  • Review prescribing of high risk medicines, to verify that it is carried out safely.
Inspection areas

Safe

Updated 12 April 2018

We found that this service was providing safe care in accordance with the relevant regulations.

  • From the sample of documented examples we reviewed, we found there was an effective system for reporting and recording significant events; lessons were shared to make sure action was taken to improve safety in the practice. When things went wrong patients were informed as soon as practicable, received reasonable support, truthful information, and a written apology. They were told about any actions to improve processes to prevent the same thing happening again.
  • The service had embedded systems, processes and practices to minimise risks to patient safety.
  • GPs could describe safety processes for prescribing high risk medicines, although these were not fully documented. The provider had begun to audit prescribing, including of high risk medicines, to verify that it was carried out safely.
  • Staff demonstrated that they understood their responsibilities and all had received training on safeguarding children and vulnerable adults relevant to their role.
  • The service had adequate arrangements to respond to emergencies and major incidents.

Effective

Updated 12 April 2018

We found that this service was providing effective care in accordance with the relevant regulations.

  • Staff were aware of current evidence based guidance.
  • Clinical audits demonstrated quality improvement.
  • Staff had the skills and knowledge to deliver effective care and treatment.
  • Staff had appraisals with personal development plans.

Caring

Updated 12 April 2018

We found that this service was providing caring services in accordance with the relevant regulations.

  • Feedback from patients was positive and indicated that the service was caring and that patients were listened to and supported.
  • The provider had systems in place to engage with patients and seek feedback using a survey emailed to all patients after their appointment.
  • Systems were in place to ensure that patients’ privacy and dignity were respected.

Responsive

Updated 12 April 2018

We found that this service was providing responsive care in accordance with the relevant regulations.

  • The service understood its patient profile and had used this understanding to meet the needs of service users.
  • For patients whose costs were not being paid by their employer, treatment costs were clearly laid out and explained in detail before treatment commenced.
  • Patient feedback indicated they found it easy to make an appointment, with most appointments the same day.
  • The service had good facilities and was well equipped to treat patients and meet their needs.
  • Patient feedback was encouraged and used to make improvements. Information about how to complain was available and complaints were acted upon, in line with the provider policy.

Well-led

Updated 12 April 2018

We found that this service was providing well-led care in accordance with the relevant regulations.

  • The provider had a clear vision and strategy and there was evidence of good leadership within the service.
  • There were good systems and processes in place to govern activities.
  • Risks were assessed and managed.
  • There was a culture which was open and fostered improvement.
  • The provider took steps to engage with their patient population and adapted the service in response to feedback.
  • Staff feedback and ideas were used to improve the service.