PAM Group London Wall Clinic

Updated 28 March 2022

The CQC registered provider of PAM Group London Wall Clinic is To Health Ltd.

PAM Group London Wall Clinic is registered to provide the regulated activities of treatment of disease, disorder and injury, and diagnostics and screening at: -

London Wall Buildings

London

EC2M 5NT

At the time of the inspection, the only service it provided which was under the scope of registration with CQC was health screening. The service had stopped providing travel vaccination and private general practitioner services.

Patients could self-refer for an assessment by telephone or online. The clinic was opened to meet the patient demands.

The service does not treat service users under the age of 18 years.

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.

During the inspection visit we:

• Spoke with staff.
• Reviewed policies, procedures, risk assessments, and patient records.
• Reviewed patient feedback.
• Carried out checks and observations of the premises and equipment.

This was a focused inspection, and therefore we looked at the following key questions:

• Is it safe?
• Is it effective?
• Is it well-led?

Updated 28 March 2022

This service is rated as Good overall. (Previous inspection 09/2021– Requires improvement)

The key questions are rated as:

Are services Safe? – Good

Are services effective? – Good

Are services well-led? – Good

We previously carried out an announced inspection of PAM Group London Wall Clinic on 8 September 2021 where the service was rated requires improvement overall and for the key questions of effective and well-led. The key questions safe, caring and responsive were rated good. During the last inspection on 8 September 2021, we identified a breach of Regulation 17 (Good Governance) of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The full report of the previous inspection can be found by selecting all reports linked for PAM Group London Wall Clinic on our website: www.cqc.org.uk.

We carried out a focused inspection of PAM Group London Wall Clinic on 22 March 2022, to review whether the service had made improvements in response to the breach of regulation we identified in September 2021.

PAM Group London Wall Clinic is an independent health service which provides health screening.

This service 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 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 PAM Group London Wall Clinic services were provided to patients under arrangements made by their employer or a government department or an insurance provider with whom the servicer user holds an insurance policy, other than a standard health insurance policy. These types of arrangements are exempt by law from CQC regulation.

The clinical nurse director 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.

The provider submitted a report for January 2022 which stated 98% of patients would recommend the service.

Our key findings were:

At the previous inspection, we found improvements were required in regard to clinical staff supervision, standards of record keeping and the systems to ensure patients were followed up appropriately. At this inspection, we found the provider had responded to our findings and made the required improvements.

• The provider had an induction programme for all newly appointed staff. Staff had completed the necessary training for their roles.
• Patients received a detailed report about the findings of their health checks and were asked if any abnormal results could be shared with their NHS GP provider.
• Clinical staff had monthly clinical notes audits to ensure the quality of their work.
• The service learned and made improvements when things went wrong.
• Staff told us team leaders were available and supportive.
• The practice demonstrated that there was a focus on continuous improvement.

The areas where the provider should make improvements are:

• Review the arrangements for checking all required equipment was ready for use in an emergency available.
• Review and risk assess the decision to carryout standard Disclosure and Barring Service Checks on clinical staff.

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