Archived: Roodlane Medical Limited - Tower Hill, part of HCA Healthcare UK Primary Care Services

Updated 13 August 2018

Tower Hill is located at 10 Lloyds Avenue, London, EC3N 3AJ which is the first floor of an office building. The practice rents space for providing services within the building. It is a member of Roodlane Medical Limited and provides services under the Roodlane Medical Limited umbrella. The practice carries out around 5,000 GP consultations, 900 health screens and 300 occupational health assessments each year. The practice told us that approximately 80% of their custom comes from corporate organisations and 20% from private individuals.

The practice delivers GP services, health assessments, occupational health advice and physiotherapy. Patients can be referred to other services for diagnostic imaging and specialist care. The practice team included three GPs, a physiotherapist, a nurse and reception staff. The practice sees both adults and children.

The provider is registered with the Care Quality Commission (CQC) for the regulated activities of treatment of disease, disorder or Injury and diagnostic and screening procedures. Some of the services provided fall outside of these regulated activities, for example, occupational health services.

Consulting hours ware 8.30am to 5.30pm Monday to Friday. Appointments are available within 24 hours. Patients can book by telephone or e-mail or by walking in to the practice.

We visited Tower Hill on 27 June 2018. The team was led by a CQC inspector, with a GP specialist advisor.

Before the inspection, we reviewed any notifications received from and about the service, and a standard information questionnaire completed by the service.

The parent provider (Roodlane Medical Ltd) is part of a larger organisation; HCA Healthcare Limited.

During the inspection, we received feedback from people who used the service, interviewed staff, made observations 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 13 August 2018

We carried out an announced comprehensive inspection on 27 June 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 services 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 practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Tower Hill provides a private general practice and occupational health services.

Dr Peter Macfarlane 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.

Thirty-seven people provided positive feedback about the service.

Our key findings were:

• The service had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service had a system to learn from them and improve.
• 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.
• Services were provided to meet the needs of patients.
• Patient feedback for the services offered was consistently positive.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.

There were areas where the provider could make improvements and should

• Review the way that patient feedback is analysed so that it provides practice specific results.