Guy Barrington Staight - Pelham Street

Updated 2 February 2023

Background to The Staight Practice

Guy Barrington Staight - Pelham Street (also known as The Staight Practice) is a private doctors service, located at 2 Pelham Street, London,SW7 2NG (approximately five minutes from South Kensington underground station). Services provided include diagnosis, investigation, and management of acute and chronic conditions common to general practice. The service is open Monday – Friday 8:30am - 6:30pm. The clinical team comprises Dr Guy Staight (full time), Dr Caroline Bealing (part time) and Dr Richard Sykes (part time) with administrative support provided by a practice manager and team of administrative staff.

Guy Barrington Staight - Pelham Street is registered with the Care Quality Commission to carry out the regulated activities of Treatment of disease, disorder or injury and Diagnostic and screening procedures.

Updated 2 February 2023

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

Guy Barrington Staight - Pelham Street (also known as The Staight Practice) is a private doctors service.

The service has a 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.

We carried out an announced comprehensive inspection at The Staight Practice on 5 December 2022 as part of our inspection programme.

Our key findings were:

• Systems, processes and practices were not always appropriate. For example, the service did not have written protocols for checking emergency medicines, blood pathology test results or for ensuring safe storage of vaccines.
• Periodic Infection Prevention and Control Audits were not being undertaken. When this was highlighted, the service took prompt action and undertook an Infection Prevention and Control Risk Assessment. However, this lacked sufficient detail.
• People had comprehensive assessments of their needs, which included consideration of clinical needs, mental health, physical health and wellbeing.
• There were clearly defined and embedded systems and processes to keep patients safeguarded from abuse.
• The service was tailored to meet patients’ needs and delivered in a way to ensure flexibility, choice and continuity of care.
• We saw evidence of quality improvement activity. For example, a recent clinical audit had been undertaken and all relevant staff were involved. Opportunities to participate in peer review were also proactively pursued.

The areas where the provider must make improvements are:

• Undertake a comprehensive infection prevention and control audit; enabling it to identify and act on infection risks.
• Introduce a written cold chain policy; outlining its stock control protocol and actions to be undertaken should its vaccines fridge temperature fall outside the required range.
• Introduce periodic checks of emergency medicines and equipment, so as to ensure their availability in the event of a medical emergency.

The areas where the provider should make improvements are:

• Continue to liaise with its Landlord in respect of addressing risks identified in a February 2022 and subsequent Fire Risk Assessments.
• Take action to monitor recently introduced protocols governing the safe management of blood pathology results.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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