This service is rated as Good overall. (The service was previously inspected 20 June 2018 but was not rated.)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Requires improvement
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at Mayfair Doctors Walk-in Clinic, London as part of our inspection programme.
The provider Steeplegrove Clinic has one location, Mayfair Doctors Walk-in Clinic, where they provide privately funded general medical and screening services. The provider also carries out occupational health checks for local companies.
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 Mayfair Doctors Walk-in Clinic services are provided to patients under arrangements made by their employer. These types of arrangements are exempt by law from CQC regulation. Therefore, at Mayfair Doctors Walk-in Clinic, we were only able to inspect the services which are not arranged for patients by their employers.
The clinic manager 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 patient feedback on the service through the 24 CQC comment cards completed and two patients we spoke with on the day of inspection. All were positive about the service they received and were very complimentary about the staff.
Our key findings were:
- The practice had effective systems in place to keep patients safe from harm. There was effective systems for monitoring service provision to ensure it was safe.
- Clear procedures and protocols were in place and the provider had processes in place to ensure risks were clearly identified and mitigated against.
- There were systems for learning from incidents and complaints. Although there had been none in the last year.
- Staff had appropriate skills, knowledge and experience to carry out their roles.
- Patient feedback from our CQC comment cards and through the provider’s own patient surveys was consistently positive about the service.
- Patients received a timely service to meet their needs.
- However, there was little evidence of quality improvement activity.
The areas where the provider must make improvements as they are in breach of regulations are:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
- Explore opportunities to increase learning from incidents.
- Review safeguarding training requirements for all staff in line with the competency framework as set out in the intercollegiate guidance.
- Review systems for ensuring all relevant equipment is identified for routine calibration checks.
Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care