MyHealthcare Clinic - Fulham

Updated 18 October 2019

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

MyHealthcare Clinic provides private dental and general practice services from purpose built premises at MyHealthcare Clinic, 5-11 Vanston Place, Fulham, London, SW6 1AY. As mentioned previously we only inspected the provision of private general practice services on this occasion. Clinic services are available to any fee paying patient and can be accessed through an individual, joint or family membership plan, or on a pay per use basis.

The premises consist of a ground floor, level access patient reception and waiting area, GP consultation rooms, nurse treatment rooms, storage and maintenance areas, staff administrative offices and accessible facilities with baby change equipment.

The service has one clinical and one non-clinical director. The GP service staff includes a lead GP, two other GPs and two practice nurses. The services are supported by a practice manager, a reception manager, five receptionist and administrative support staff. There are also a number of other clinical consultants who patients can see on matters such as gynaecology, dermatology, fertility and paediatrics. Those staff who are required to register with a professional body were registered with a licence to practice.

The service operates from 8am to 8pm on a Monday, Tuesday, Wednesday, Thursday and Friday; from 10am to 4pm on Saturday and from 10am to 1pm on Sunday. The clinic does not offer out of hours services.

We carried out this inspection on 22 August 2019 and before visiting, we looked at a range of information that we hold about the practice. We reviewed the last inspection report from January 2018 and from information submitted by the service in response to our provider information request.

During our visit we interviewed staff (GPs, nurses and practice manager), observed practice and reviewed documents.

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 18 October 2019

This service is rated as Good overall.

A previous inspection was carried out at MyHealthcare Clinic on 9 January 2018 when we inspected the provision of private dental and general practice services. At that time, we did not rate the service but found the provider had met the requirements of the key questions for providing safe, effective, caring, responsive and well led care. 

Although there were no breaches of regulations, we noted that the provider could make improvements in areas relating to the provision of dental services and in the implementation of clinical audit and quality improvement.

We carried out this comprehensive inspection at MyHealthcare Clinic on 22 August 2019 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This announced inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to check that the provider had made improvements as highlighted in our previous inspection and to rate the service. At this time, however, the provision of dental services are not rated and so did not form part of the inspection.

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

The service lead GP 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 is registered with the Care Quality Commission (CQC) to provide the regulated activities diagnostic and screening procedures, surgical procedures and treatment of disease, disorder or injury.

Our key findings were:

• The service had systems in place to manage significant events.
• The service had a clear vision to deliver high quality care for patients.
• The service had clearly defined systems, processes and practices to minimise risks to patient safety.
• Policies and procedures were in place to govern all relevant areas.
• Staff had been trained in areas relevant to their role.
• The service had systems in place for monitoring and auditing the care that had been provided.
• The GPs assessed patients’ needs and delivered care in line with current evidence-based guidance.
• Information about services was available and easy to understand.
• The GPs had the skills and knowledge to deliver effective care and treatment.
• There was an effective system in place for obtaining patients’ consent.
• The service had systems and processes in place to ensure that patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
• The service had good facilities and was well equipped to treat patients and meet their needs.
• The service was aware of and complied with the requirements of the Duty of Candour.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care