Background to this inspection
Updated
16 January 2019
Roodlane Medical Limited–Bank, is based in Central London and the service location was registered with CQC in June 2013. Roodlane Medical Limited has eight CQC registered locations in London and one location in Birmingham. Roodlane also provides services within other HCA Healthcare UK locations, including The Shard and The Wilmslow Hospital. Roodlane Medical Limited is part of the corporate brand HCA Healthcare UK which provides the overarching governance framework and the senior management structure.
Roodlane Medical Limited–Bank is a private GP service providing services such as GP consultations, travel immunisations, physiotherapy, health and wellbeing screens. The patient population consists of mainly younger individuals the majority aged 25-60. A significant amount, 85% of the service provided is for corporate clients and their workforce located within the area, 15% of patients are self-paid.
Services are delivered at the Bank location or internal referrals within HCA Healthcare UK Primary Care Services. Patients are also referred to specialist consultants and facilities on a private basis. The service provides care and treatment to children and adults. The service had been closed for nine months for refurbishment and had reopened one week before the inspection. During the period from October 2017 to November 2018, excluding the months the service was closed, the service has carried out 2174 GP consultations and 480 medical screenings.
The staff team at Roodlane Medical Limited–Bank comprise of two GPs and one administrative staff. They are supported by the senior management and administrative team at HCA Healthcare UK.
The service is open Mondays to Fridays 8am to 6pm. When the service is closed patients access their usual GP or out of hours service provider, they also have access to HCA and NHS Urgent Care Centres. One of the senior doctors for Roodlane group is on call for any urgent test results to ensure these are reviewed and acted on promptly.
This inspection was undertaken on 30 November 2018 and was led by a CQC inspector with a GP specialist advisor.
Before the inspection we reviewed information that we held about the service as well as information sent to us by the provider.
During the inspection, we received feedback from people who used the service who had completed CQC comment cards. We spoke with staff including clinical and non-clinical staff and the senior management team, we also reviewed documents and made observations.
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
16 January 2019
We carried out an announced comprehensive inspection on 30 November 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?
Our findings were:
Are services safe?
We found that this service was providing safe care in accordance with the relevant regulations.
Are services effective?
We found that this service was providing effective care in accordance with the relevant regulations.
Are services caring?
We found that this service was providing caring care in accordance with the relevant regulations.
Are services responsive?
We found that this service was providing responsive care in accordance with the relevant regulations.
Are services well-led?
We found that this service was providing well-led care in accordance with the relevant regulations.
We carried out this inspection 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.
Roodlane Medical Limited–Bank provides private general practitioner services. This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the private medical services it provides. There are some 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 Roodlane Medical Limited–Bank, some services are provided to patients under arrangements made by their employer. These types of arrangements are exempt by law from CQC regulation. Therefore, we only inspected the services which are not arranged for patients by their employers.
The 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.
Seventeen people provided feedback about the service, which was entirely positive.
Our key findings were:
- The service had clear systems to manage risk so that safety incidents were less likely to happen. There were arrangements in place for sharing and learning.
- The service reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients could access appointments and services in a way and at a time that suited them. Patients could be seen on the same day and there were clear pathways for seamless referrals to specialist services and facilities.
- There were clear responsibilities, roles and systems of accountability to support good governance and management.
- The service had good facilities and was well equipped to treat patients and meet their needs.
- Leadership, management and governance of the service assured the delivery of high-quality and person-centred care.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice