12 February 2020
During a routine inspection
We carried out an announced comprehensive inspection on 16 February 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.
Background
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.
Our key findings were:
We found an area of notable practice:
We carried out an announced desk based follow up inspection on 13 January 2017 to follow up concerns we found at Regent Street Clinic Nottingham on 22 March 2016.
Our findings were:
Are services safe?
We found that this service was providing safe care in accordance with the relevant regulations.
Background
We carried out a desk based inspection of this service under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
Regent Street Clinic Nottingham is an independent provider of GP services owned by FBA Medical Ltd. The provider also offers a range of specialist services and treatments such as facial aesthetics, travel vaccinations, sexual health screening, occupational health and offshore medical services to people on both a walk-in and pre-bookable appointment basis. The clinic is based in the city centre of Nottingham. It is an accredited yellow fever centre which is registered with NATHNaC (National Travel Health Network and Centre). The practice is also registered with the British College of Aesthetics Medicine (BCAM).
The provider which is FBA Medical Limited is registered with the Care Quality Commission to provide services at Regent Street Clinic Nottingham, 2 Regent Street, Nottingham, NG1 5BQ. This four storey grade II listed Victorian property, owned by the provider, has been used to provide services to patients since 1998. FBA Medical also provide services at other locations in Leicester, Leeds, Sheffield and Derby. The property consists of a patient waiting room and reception area on the ground floor and consulting rooms which are located on the first and second floor of the property. A call centre is located in the Nottingham location which deals with incoming telephone calls for all five locations. There is on street car parking outside the practice and a nearby NCP car park is available for patients.
The practice does not hold a list of registered patients and offers services to patients who reside in Nottingham and the surrounding areas and patients who live in other areas of England who require their services. The practice has a high number of patients who are overseas visitors from foreign countries and also students of Nottingham University and Nottingham Trent University who require medical assistance.
The practice manager 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.
This practice is a member of the Independent Doctors Federation (IDF). The IDF is a designated body with its own Responsible Officer.
The practice employs one GP, one practice manager who is also the registered manager and a team of receptionists.
The practice is open from 8.30am until 12noon on a Monday, Thursday, Friday and Saturday. The practice is open from 2.30pm until 6pm on a Tuesday and from 2.30pm until 8pm on a Wednesday.
The practice is not required to offer an out-of-hours service. However, the practice offers a home visiting and hospital admission service which is available 24 hours a day, full details of this service are advertised on the practice website.
Our key findings were:
Our key findings across the areas we inspected were as follows:
Risks to patients were assessed and well managed. The practice had carried out a risk assessment regarding legionella and had made arrangements to complete necessary actions identified from the risk assessment carried out.
We carried out an announced comprehensive inspection on 22 March 2016 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 not providing safe care in accordance with the relevant regulations.
The impact of our concerns is minor for patients using the service, in terms of the quality and safety of clinical care. The likelihood of this occurring in the future is low once it has been put right. We have told the provider to take action (see full details of this action in the Requirement Notice at the end of this report).
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.
Our key findings were:
We identified regulations that were not being met and the provider must:
You can see full details of the regulations not being met at the end of this report.
All of the people who used the service were very complimentary about the care and treatment they received. Nobody reported to us that they had any concerns about how the service was run. We asked people if they felt the clinic was clean and hygienic, they told us that it was. People were very positive about the Doctor they had seen and the treatment they had been given. One person told us: "They go out of their way to help you." Another person said: "I find it excellent there. All my family uses it."
Staff told us that they enjoyed working at the clinic. They described having enough staff to meet the needs of people using the service and were positive about the care and treatment people received. One staff member said: "We've got a very good reputation to be honest. I think that's why we do so well."
We found that care and treatment was assessed to ensure people's safety and delivered to meet their individual needs.
We found that they were insufficient systems in place to ensure that people were protected from the risk of infection. However, there were plans in place to ensure these were implemented in the future.
We found adequate numbers of staff employed by the service and that complaints were appropriately logged and responded to.
Patients told us they were happy with the care that was provided, and they felt safe with the clinic and staff when visiting.
When asked, patients said that they had not completed any service questionnaires, but felt they were listened to by the Doctor and the staff. They said staff were very attentive to their needs and made them feel relaxed and comfortable when they attended for their appointments