Dr Indra FMGP Also known as Iveridge Health Club

Updated 18 January 2023

Dr Indra FMGP is based in:

Iveridge Hall

Wakefield Road

Oulton

Leeds

LS26 8EU.

The premises are located approximately 10 miles to the South East of Leeds city centre. Other health and wellbeing services operate from the same premises. Dr Indra FMGP leases a consulting room on the first floor where patients can be seen face-to-face. Access is via stairs or a passenger lift. There are arrangements for a ground floor room to be used should patients have any mobility issues. Onsite parking is available.

The service provides functional medicine, nutritional therapy and support for a range of conditions, such as hormonal imbalances, chronic illness, gastro-intestinal related issues, chronic fatigue and anxiety. Services are carried out by a range of staff including registered doctors who are trained in functional medicine, nutritionists, a health coach and a psychiatrist. Dr Indra FMGP does not provide emergency medical care.

The service is available for patients aged from two years (with consent from their parent/guardian/carer as appropriate) and upwards. However, not all the clinical staff see children. Patients can self-refer or be referred by other healthcare professionals. All patients are self-funded. Patients can initially access the service via the website or by telephone.

The service is staffed by 1 lead GP, 2 registered general practitioner doctors, 1 consultant psychiatrist, 2 nutritional therapists/metabolic balance practitioners and 1 health coach. The clinical team is supported by one patient manager and two practice administrators. All staff are female.

The service opening times are Monday to Thursday 9am to 5pm. Patients have access to virtual online clinics or face-to-face clinics at the Leeds location. When necessary the service makes home visits.

The provider is registered with CQC under the Health and Social Care Act 2008 to provide the following regulated activities:

• Diagnostic and screening procedures.

• Treatment of disease, disorder or injury.

How we inspected this service

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

We carried out this inspection on 5 January 2023. Before visiting the location, we looked at a range of information that we hold about the service. We reviewed information submitted by the service in response to our provider information request, this included completed staff questionnaires. During our visit, we spoke with the lead doctor/registered manager, reviewed documents and clinical records, and made observations relating to the service and the location it was delivered from.

This was a focused inspection which looked at the key question:

• Is it safe?

This question therefore formed the framework for the areas we looked at during the inspection.

Updated 18 January 2023

This service remains rated as good overall. The service was last inspected on 24 February 2022 and was rated good overall, with requires improvement for the key question of safe. All other key questions were rated good.

Following this inspection the key question of safe is now rated as good.

We carried out an announced focused inspection at Dr Indra FMGP to follow up on a breach of the Health and Social Care Act 2008 Regulated Activities Regulations 2014. Following our inspection in February 2022, we issued the provider with a requirement notice under Regulation 12: Safe care and treatment due to the areas of non-compliance we had identified. At this inspection, we looked across the key question of safe to assess improvement, and to review compliance with the requirement notice.

This service is registered with the 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. Therefore, during our inspection we were only able to evaluate the services which fell under our scope of regulation.

The lead doctor is the registered manager. A registered manager is a person who is registered with the CQC 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.

Dr Indra FMGP is a functional medicine specialist practice (functional medicine is a systems biology-based approach that focuses on identifying and addressing the root cause of disease. This involves looking holistically at people, which includes how lifestyle, nutrition and environment impact on a person’s health and wellbeing.)

At the previous inspection in February 2022 we found:

• Safety checks to assess if a patient was safe to have hormone replacement therapy were not always completed and recorded.
• We could not be assured that all medicines prescribed were captured within the annual medicines audit.
• The service did not have a robust system in place for medicines reconciliation (to check what medicines a patient was taking). Allergies were not always recorded in records, which may increase the risk of a medicine or supplement being prescribed in error.

In addition, during this February 2022 inspection we also identified some areas where the provider should make improvements:

• Improve the process regarding patient consent to share information.
• Take action to ensure that prescribing audits take account of the information held on both of the patient record systems.
• Take steps to ensure all staff understand and follow safeguarding policies and procedures.

Our key findings were:

• The service provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received care and treatment that met their needs.
• The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
• The service had developed a detailed quality assurance and audit programme.
• The premises was well maintained.

The areas where the provider should make improvements are:

• Continue to embed the new patient record system into the service. In particular the elements relating to improving patient understanding and comprehension of treatments and through this consent, details related to the suitability of patients to be prescribed medicines, and information to facilitate medicines reconciliation.
• Improve the depth and scope of health and safety risk assessments undertaken by the service.
• Fully establish the vaccination status of staff working in the practice in line with current guidance.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services