Archived: The Basil Street Practice

Updated 5 March 2019

The Basil Street Practice operates under the provider HCA International Limited. The provider is registered with the Care Quality Commission to carry out the regulated activities of diagnostic and screening procedures and treatment of disease, disorder or injury.

Suzanne Canham 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 service consists of seven GPs, one practice manager, four medical secretaries and two receptionists.

The service is open Monday to Friday from 8:30am to 6pm where routine appointments last 30 minutes. GPs at the service manage out of hours appointments alongside two other similar services.

Patient records are all hand written and the service was in the process of scanning all patient records to put them into an electronic computer system. The service referred patients to other providers when necessary.

Prior to the inspection, we reviewed information requested from the provider about the services they were providing. The inspection was undertaken on 15 January 2019 and the inspection team was led by a CQC inspector, who was supported by a GP and a nurse specialist advisor. During the inspection, we spoke with three GPs, secretaries, a receptionist and members of the management team. We reviewed a sample of key policies and procedures, made observations of the environment, including infection, prevention and control measures and viewed a sample of clinical records.

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 5 March 2019

We carried out an announced comprehensive inspection on 15 January 2019 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.

The Basil Street Practice is an independent health service based in Knightsbridge, where general practitioner services are provided to people of all ages.

Our key findings were:

• Systems were in place to keep patients safe and safeguarded from abuse, but the policy did not include the name of the lead member of staff.
• There were systems to keep staff up to date with evidence based practice.
• There was a programme of quality improvement.
• No complaints had been received in the last 18 months.
• All members of staff were up-to-date with training relevant to their role.
• Systems were in place to protect the personal information of patients.
• There were comprehensive risk assessments to mitigate current and future risk.
• The significant events process had flaws.

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

• Review the significant event process to ensure that all significant events are documented and learning is effectively shared.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice