Moore Medical Practice

Updated 30 November 2022

Moore Medical Practice is located at First Floor, College House, 272 Kings Road, Chelsea, London SW3 5AW.

The provider offers private GP services to adults and children including medical consultations, health checks, childhood immunisations, COVID-19 testing, travel advice, nutritional medicine, acupuncture, cryotherapy and influenza vaccinations.

The clinical team at the service is made up of a male private GP clinical lead, two male and four female part-time private GPs and a doctor in nutritional medicine. The non-clinical practice team consists of a practice manager, assistant practice manager and two administrative or reception staff members.

The service is open between 8:30am and 6pm Monday to Friday. The provider uses an external service for out of hours cover. They also offer walk-in on the day appointments for patients.

How we inspected this service

Before visiting, we reviewed a range of information we hold about the service and asked them to send us some pre-inspection information which we reviewed.

During our inspection we:

• Spoke with the practice manager, assistant practice manager, two private GPs remotely through video conferencing.

During our site visit we:

• Spoke with staff (clinical lead, practice manager and a receptionist/administrator).
• Reviewed personnel files, practice policies and procedures and other records concerned with running the service.
• Reviewed a sample of records.
• Looked at information the service used to deliver care and treatment plans.

To get to the heart of clients’ 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 30 November 2022

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 Moore Medical Practice on 07 November 2022 as part of our inspection programme.

Moore Medical Practice is an independent provider of GP services to adults and children.

The clinical lead 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.

Our key findings were:

• There was an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and monitored. However, recruitment checks, mandatory training for staff, actions following risk assessments and infection prevention and control procedures should be improved.
• The practice was equipped to deal with medical emergencies and staff were suitably trained in emergency procedures.
• There was a system in place to receive safety alerts issued by government departments such as the Medicines and Healthcare products Regulatory Agency (MHRA); however, there was no system in place to evidence the actions taken.
• Staff had the skills, knowledge, and experience to deliver effective care and treatment. Staff assessed patients’ needs and delivered care in line with current evidence-based guidance.
• To ensure and monitor the quality of the service, the service completed audits which showed the effectiveness of the service.
• Information about services and how to complain was available in the provider’s website and they were easy to understand.
• The provider was aware of and complied with the requirements of the Duty of Candour.
• Patients said they were treated with compassion, dignity, and respect and they were involved in their care and decisions about their treatment.
• The service had good facilities and was well equipped to treat patients and meet their needs.
• The service held a range of policies and procedures which were in place to govern activity; staff were able to access these policies.
• We saw there was leadership within the service and the team worked together in a cohesive, supported, and open manner.
• The service proactively sought feedback from patients, which it acted on.

The areas where the provider must make improvements as they are in breach of regulations are:

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

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

The areas where the provider should make improvements are:

• Consistently maintain immunisation records for staff.
• Consistently maintain mandatory training records for staff.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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