27 Wimpole Street

Updated 22 August 2022

The registered provider for the service is Dr K J Ugboma. The provider is registered to carry out the regulated activity of:

• Diagnostic and screening procedures
• Treatment of disease, disorder or injury

The service consists of one GP and two administration staff. The service is open Monday to Friday and provides approximately 30 appointments per week.

How we inspected this service

This inspection was carried out in a way which enabled us to spend a minimal amount of time on site. This was with the consent from the service and in line with all data protection and information governance requirement.

During our inspection we: -

• Looked at the system in place relating to safety and governance of the service.
• Viewed key policies and procedures.
• Conducted interviews with staff.
• Reviewed clinical records.

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 22 August 2022

This service is rated as Good overall.
The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

We carried out an announced comprehensive inspection at 27 Wimpole Street, London W1G 8GN on 25 July 2022. This inspection was undertaken as part of our programme of inspecting independent doctor services registered with the commission. This inspection was the first rated inspection following registration with the commission.

Although there were no legal breaches from the unrated inspection carried out on 22 February 2019, there were areas where the provider could make improvements and we said the provider should:

• Review the need to establish a cold chain policy with appropriate recordings of temperatures.
• Review the 2016 fire risk assessment and ensure that all actions had been completed.

27 Wimpole Street is a private doctor consultation and treatment service. The staff are one male GP and two administrative staff. The service operates five days a week from 27 Wimpole Street, London W1G 8GN. The building is owned by the service; however, services are only provided on the ground floor.

Dr KJ Ugboma 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:

• The provider was aware of their responsibility to respect people’s diversity and human rights.
• There was a complaints procedure in place and information on how to complain was readily available.
• The service had systems and processes in place to mitigate any risks to health & safety.
• Individual care records were written and managed in a way that kept patients safe.
• The service had systems where the provider collected feedback and feedback forms were readily available.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs and helped them understand their conditions.
• There was a clear cold chain policy and regular recording of temperature.
• The service provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The service organised and delivered services to meet patients’ needs.
• Patients could access care and treatment in a timely way.
• The way the service was led and managed generally promoted the delivery of high-quality, person-centred care. However, systems to sustain effective protocols should be improved.
• We considered circumstances that recently temporarily affected the individual provider’s ability to maintain their usual level of oversight and that the provider demonstrated it had capacity to immediately rectify issues of concerns found during the inspection but the areas where the provider should make improvements are:
• Although we saw various policies, some were basic and required more information to ensure they were easier to follow and understand.
• Review and improve the consent policy to ensure parental responsibility is identified correctly.
• The provider must remain proactive with mandatory staff training and ensure that all staff including themselves are up to date with mandatory training within the guided timeframes.
• The provider must ensure effective systems for reviewing and approving protocols, including checks on emergency equipment.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care