The Care Quality Commission
  • Doctor
  • Independent doctor

Dr Indra FMGP Also known as Iveridge Health Club

Overall: Good read more about inspection ratings

Iveridge Hall, Wakefield Road, Oulton, Leeds, LS26 8EU 07496 692137

Provided and run by:
Dr. Indra FMGP Limited

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr Indra FMGP on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Dr Indra FMGP, you can give feedback on this service.

05 January 2023

During an inspection looking at part of the service

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

24 February 2022

During a routine inspection

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Dr Indra FMGP on 24 February 2022. The service was registered with the Care Quality Commission (CQC) in December 2019. We carried out this first rated inspection as part of our regulatory functions. The inspection was undertaken to check whether the service was meeting the legal requirements and regulations associated with the Act.

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.)

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, in order to improve the health and wellbeing of people. Services are carried out by a range of staff including registered doctors who are trained in functional medicine, nutritionists, health coaches 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.

Dr Indra FMGP refers to people using the service as patients, and this terminology is reflected throughout the report.

Our key findings were:

  • There was a range of policies, processes and systems in place to support governance and operation of the service.
  • The provider encouraged a culture of openness, honesty and transparency. They promoted both staff and patient feedback, which was used to improve service delivery.
  • The premises were well maintained, fit for purpose and had the appropriate health and safety measures in place.
  • Staff were recruited in line with recommended recruitment procedures. They had access to training and development in line with their role.
  • Patients had timely access to a range of professionals to support management of their health and wellbeing.
  • Feedback from patients was positive about the service, staff, the care they received and the improvements in their health and wellbeing as a result.

We found one breach of regulation. The area where the provider must make improvements is:

  • Ensure care and treatment is provided in a safe way.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • 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.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care