Marylebone Health Group (CHHP London)

Updated 15 November 2022

The service offers a combination of medical services, sports and exercise medicine, health improvement, disease prevention and screening. They offer appointments with physicians, physiotherapists and physiologists with referral to specialist services as required. The provider is registered with CQC to carry out regulated activities of Treatment of disease, disorder and injury and Diagnostic and screening. The service is open on a Monday to Friday from 9am to 6.30pm.

The service treats adults and children over the age of thirteen. Patients can book appointments by telephone, email or in person. The practice estimates that it sees approximately 300 patients a month.

Patient facilities are provided in the basement of the building which can only be accessed via steps. The staff team include a managing director, practice manager, physiologist, one full time administrator and a receptionist. The physicians, physiotherapist and nutritionists are self-employed.

How we inspected this service

We reviewed information sent to us by the provider remotely prior to attending the site to reduce the time spent on site in line with our Covid-19 inspecting guidance. We spoke with the registered manager, a physiologist, physiotherapist and administrative staff. We looked at records related to patient assessments and the provision of care and treatment. We also reviewed documentation related to the management of the service and we reviewed patient feedback.

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.

Updated 15 November 2022

This service is rated as Good overall. This is the providers first rated inspection.

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 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.

The provider Marylebone Health Group Ltd has one location registered as CHHP Ltd in London. The service combines medical services, sports and exercise medicine, health improvement, disease prevention and screening. There is a fully equipped cardio-pulmonary exercise testing and fitness training laboratory in-house, and three treatment rooms. The services are provided by a team of doctors and other therapists.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines.

One of the owners 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.

We did not speak with any patient's during this inspection.

Our key findings were:

• The service routinely reviewed the effectiveness and appropriateness of the care it provided. They ensured that care and treatment was delivered according to evidence- based guidelines.

• The provider had systems in place to protect people from avoidable harm and abuse.

• There was a clear vision to provide a safe, personalised, high quality service.

• All staff we spoke to felt valued by the leaders and said there was a high level of staff support and engagement.

• Patients could access care and treatment from the service within an appropriate timescale for their needs.

• The service had a business development strategy that effectively monitored the service provided to assure safety and patient satisfaction.

The areas where the provider should make improvements are:

• Establish a program of quality improvement activity in relation to clinical outcomes for patients.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services