Dr Sandeep Bolia Private Medical Services

Updated 8 February 2019

Dr Bolia Private Medical Services provides private mobile general practice services to children and adults who require private consultations, physical examination and prescribing medication. The service has been registered with the CQC to provide the regulated activities: Diagnostic and screening procedures and Treatment of disease, disorder or injury, since December 2011. The inspection was carried out at the provider registered business address, 203m Camberwell Grove, London, SE5 8JU.

The provider sees a small volume of patients per week; services operate Monday to Friday, between 9am and 5pm. The service’s patient list is 100. The majority of the service’s patients are from overseas.

Our inspection team was led by a CQC lead inspector. The team included a GP specialist adviser.

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 8 February 2019

We carried out an announced comprehensive inspection on 11 December 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 not 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 practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The provider 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.

Our key findings were:

• Children were accompanied by an adult during consultations. However, the provider did not undertake checks to ascertain whether the adult had parental authority.
• The provider’s emergency medicines bag contained out of date emergency equipment.
• The provider did not keep a seperate log of prescriptions that had been issued to patients.
• The provider had reviewed the effectiveness and appropriateness of the care provided. Care and treatment was delivered according to evidence based guidelines.
• The service had clear systems to manage risk so that safety incidents were less likely to happen.
• Patients reported being treated with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• Patient feedback was encouraged and considered in the running of the service.
• Risks to patients were managed and mitigated.

There were areas where the provider must make improvements:

• Ensure care and treatment is provided in a safe way to patients

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

• Review the degree and scope of quality improvement activity within the service to ensure patients consistently receive high quality care.
• Review method of patient record keeping in order to improve case management and quality improvement capability.
• Regulaly review the decision to not hold oxygen as an emergency treatment option.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice