Tooting and Clapham Clinics

We carried out an announced comprehensive inspection on 17 and 18 July 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 service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008. We also planned the inspection to check on concerns raised which we had received.

Tooting Med Centre Ltd provides private medical, dental and aesthetic services at Doctors and Dentists of South London in Clapham, in the London Borough of Wandsworth. Services are provided to both adults and children.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by a medical or dental practitioner, including the prescribing of medicines. At Tooting Med Centre Ltd the aesthetic treatments that are provided by therapists are exempt from CQC regulation.

We received feedback from three people about the service, including comment cards, all of which were very positive about the service and indicated that patients were treated with kindness and respect. Staff were described as helpful, caring, thorough and professional.

Our key findings were:

• The practice was clean and well maintained.
• There were safe systems for the management of medicines and infection control.
• Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
• The practice had a number of systems to help them manage risk.
• There was a system for recording and acting on adverse events, incidents and safety alerts.
• The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
• Doctors and dentists were carrying out assessment and treatment in line with current evidence based guidance and standards.
• There was evidence of some quality improvement measures.
• The practice had effective systems for induction, supervision, training and appraisals for all staff.
• Consent policies were in place but consent was not consistently recorded in some cases.
• Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
• The appointment system met patients’ needs.
• The practice dealt with complaints positively and efficiently.
• The practice had effective leadership. Staff felt involved and supported and worked well as a team.
• The provider was aware of and had systems to ensure compliance with the requirements of the duty of candour.
• The practice reviewed feedback from patients and staff about the services they provided.

There were areas where the provider could make improvements and should:

• Review the current health and safety risk assessments to ensure that all risks have been considered.
• Review the systems for recording vaccinations for clinical staff.
• Review the processes for sharing information with patients’ GPs.
• Review the quality improvement systems to ensure that medical assessments and treatments are monitored and are in line with relevant and current evidence based guidance and standards.
• Review the systems for ensuring staff understand the requirements of legislation and guidance when considering consent and decision making in relation to children under 16 and review the systems for monitoring the recording of consent.