Background to this inspection
Updated
19 July 2019
The Harley Street General Practice provides the full range of non-emergency general practice medical services and is available by appointment only.
The service offers appointments with the GP with referral to specialist services as required. The practice is open on a Monday to Friday from 8.30am to 6pm.
The practice treats adults and children. Patients can book appointments by telephone, email or in person. It has a registered patient list receiving primary care as required and also provides services on an ad hoc basis, for example to tourists. The practice estimates that it currently has around 6000 registered patients actively using its services.
Patient facilities are provided on the second floors and the practice has a lift and entrance ramp facilitating access. The staff team include one full time lead doctor, with four associate doctors. There is also one full time practice manager, one full time finance manager and three full time administration assistant. The landlord provides a range of property services such as building risk assessments and health and safety checks.
How we inspected this service
Before visiting, we reviewed a range of information we hold about the service and asked the practice to send us some information about the service which we also reviewed.
During our visit we:
- Spoke with the doctor, practice manager and administration staff.
- Reviewed comment cards where patients had shared their views and experiences of the service in the days running up to the inspection.
- Reviewed documentary evidence relating to the service and inspected the facilities, equipment and security arrangements.
- We reviewed a number of patient records alongside the doctor. We needed to do this to understand how the service assessed and documented patients’ needs, consent and any treatment required.
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 formed the framework for the areas we looked at during the inspection.
Updated
19 July 2019
This service is rated as Good overall.
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
We carried out this announced comprehensive inspection of The Harley Street General Practice 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 Harley Street General Practice provides the full range of non-emergency medical services and is available by appointment only.
This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines.
The lead doctor 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.
Twenty patients provided feedback about the service. All the comments we received were positive about the service, for example describing the staff as very thorough, helpful and patient.
Our key findings were:
- The clinician was aware of current evidence-based guidance and had the skills and knowledge to deliver effective care and treatment.
- The provider had systems in place to protect people from avoidable harm and abuse.
- The service had arrangements in place to respond to medical emergencies.
- There was a clear vision to provide a personalised, high quality service.
- The patient feedback we received indicated that patients were very satisfied with the service they received.
- Staff felt respected, supported and valued. The provider encouraged good health and wellbeing and all employees had free access to a gym.
- The service worked closely with their corporate clients to promote good Health and Wellbeing and had won an award Best Health and Wellbeing Initiative.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care