Background to this inspection
Updated
20 January 2020
Samedaydoctor Manchester clinic is provided by the Samedaydoctor group which is a private independent GP company. The head office and other clinics are based in London. The Samedaydoctor LLP management team provide clinical and business support and has oversight of all aspects of governance for all the clinics including the franchised Manchester clinic. However, the registered provider of the Manchester clinic is the owner of the franchise and has the final responsibility for the decisions made and standard of the service at the Manchester location.
Samedaydoctor operates a private GP and medical service in Manchester city centre. The service aims to provide appointments within 20 minutes of referral or request and appointments are also pre-bookable. The practice provides consultations and treatments for all age-groups; however, children are only seen by appointment and will not be seen on a walk-in basis.
There are between 500 and 1000 patients currently registered with the Manchester clinic. The clinical team consists of two GPs (male) and two female Advanced Nurse Practitioners. The clinical team are supported by a business manager and administration staff.
The service operates from 8am to 6pm Monday to Friday and 10am to 1pm on Saturdays. The clinic is based on the first floor and is accessible by stairs or by a lift.
The practice website:
How we inspected this service
Prior to the inspection visit we reviewed the information sent to us by the practice and information available on social media and on the practice’s website.
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
20 January 2020
This service is rated as Good overall. (Previous inspection in November 2018 was not rated).
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
Samedaydoctor Manchester Clinic is a franchise of SDD Medical LLP based in London. The clinic is owned by the clinical lead and the business partner. The practice provides private primary medical services to the whole population. The clinical lead 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 received feedback through 31 Care Quality Commission comment cards completed prior to the inspection. Each comment about the service was positive. Patients commented that staff were professional and caring and they were always treated with dignity and respect.
We carried out an announced comprehensive inspection at Samedaydoctor Manchester Clinic as part of our inspection programme.
Our key findings were:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events, incidents and accidents.
- Information about services and how to complain was available to patients on the practice website although this was not easy to find.
- Services were provided from modern, well equipped and well-maintained premises in line with patient needs.
- There were systems in place to check all equipment had been serviced regularly.
- Staff assessed patients’ needs and delivered care in line with current evidence-based guidance.
- Staff maintained the necessary skills and competence to support the needs of patients.
- Staff were up to date with current guidelines and were supported by an accessible and visible leadership team within the Samedaydoctor group.
- Risks to patients were well managed for example, there were effective systems in place to reduce the risk and spread of infection.
- The provider was aware of, and complied with, the requirements of the duty of candour.
- There was a clear leadership structure and staff felt supported by management. The clinic proactively sought feedback from patients, which it acted on.
- The provider was proactive in monitoring the quality of the service and made changes in response to the findings.
- The provider had effective systems in place to communicate with statutory agencies.
- The registered manager has ensured corporate policies are aligned to local polices and are relevant to the Manchester clinic.
Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care