We carried out an announced comprehensive inspection on 12 June 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 service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
Nuffield Health Canary Wharf Medical Centre provides health assessments (for patients aged 18 and over) that include a range of screening processes. Following the assessment and screening process clients undergo a consultation with a doctor to discuss the findings and any recommended lifestyle changes or treatment planning. The centre also provides private GP services.
The service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act
2008 in respect of some, but not all, of the services it provides. For example, physiotherapy and lifestyle coaching do not fall within the regulated activities for which the location is registered with CQC.
The General 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.
Nuffield Health Canary Wharf Medical Centre is registered to conduct the following regulated activities under the Health and Social Care Act 2008:-
- Treatment of disease, disorder and injury
- Diagnostic and screening procedures
Prior to our visit, the service was provided with feedback cards for their customers to complete with their views about the service by completing comments cards. We received 27 feedback cards, all of which indicated that clients were happy with care provided at the service.
Our key findings were:
- The service had clear systems to keep people safe and safeguarded from abuse. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
- A system was in place for reporting, investigating and learning from significant events and incidents.
- Systems were in place to deal with medical emergencies and staff were trained in basic life support.
- There were systems in place to reduce risks to client safety. For example, infection control practices were carried out appropriately and there were regular checks on the environment and equipment used.
- Staff assessed clients’ needs and delivered care in line with current evidence based guidance.
- Feedback from clients about the care and treatment they received was very positive.
- Clients were treated with dignity and respect and they were involved in decisions about their care and treatment.
- Clients were treated in line with best practice guidance and appropriate medical records were maintained.
- Clients were provided with information about their health and with advice and guidance to support them to live healthier lives.
- Systems were in place to protect personal information about clients.
- There was a clear leadership and staff structure and staff understood their roles and responsibilities.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice