The Care Quality Commission
  • Doctor
  • Independent doctor

Kirby Chemist Dental and Medical Centre

Overall: Good read more about inspection ratings

52 High Street, Teddington, TW11 8HD (020) 3303 0326

Provided and run by:
Shilpa Dave Limited

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Kirby Chemist Dental and Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Kirby Chemist Dental and Medical Centre, you can give feedback on this service.

28 June 2022

During a routine inspection

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? – Good

We carried out an announced comprehensive inspection at Kirby Chemist Dental and Medical Centre on 21st and 22 June 2022 as part of our inspection programme.

The Kirby Chemist Medical Practice is a private GP clinic located in Teddington High Street. The Clinic has been set up alongside a CQC registered dental practice which is on the premises. The clinic provides a wide range of Primary Medical Services. The service uses two clinical rooms within the dental practice.

This service is registered with CQC under the Health and Social Care Act 2008 to provide treatment of disease and disorder or injury , diagnostic and screening procedures and family planning. The clinic is registered to provide care to children and adults.

The Kirby Chemist Medical Practice 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.

Our key findings were:

  • There was an effective system in place for reporting and recording significant events.
  • Risks to patients were always assessed and well managed, including those relating to medicines, safeguarding and recruitment checks.
  • The clinic had policies and procedures to govern activity.
  • The way the service was led and managed promoted the delivery of high-quality, person-centre care. There was a clear leadership structure and staff felt supported by management. The service proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care

28 March 2019

During a routine inspection

We carried out an announced comprehensive inspection on 28 March 2019 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; however, there were some areas where the provider should make improvements in relation to the governance around safeguarding, sharing information with patients’ registered GPs, assessment of infection prevention and control, and the process for establishing and recording the relationship between children attending for appointments and the adult accompanying them.

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.

The service is located in a consultation room set within a long-established pharmacy shop, and provides appointments with a General Practitioner (GP). This is an independent health service, where patients self-fund. Patients pay only for the service(s) they receive; there is no membership or subscription charge. Appointments are provided solely by the GP who runs the service. The GP is supported by a practice manager, and appointments are booked via a contracted practice personal assistant who works remotely.

We received six patient comments cards, all of which were positive about the service they had received; patients made particular comments about the GP being thorough and caring during consultations.

Our key findings were:

  • Overall, the service had systems to manage risk so that safety incidents were less likely to happen; however, at the time of the inspection, in some areas the service’s approach had not been formalised or comprehensively risk-assessed.
  • The service ensured that the regulated activities being offered were delivered according to evidence based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • The service was aware of the needs of its patient group and tailored its services to meet these needs.
  • There was a commitment to continuous learning and improvement.

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

  • Review arrangements in place in relation to the assessment of infection prevention and control.
  • Review the service’s safeguarding arrangements, to include ensuring that specific information about identifying and reporting female genital mutilation is included in the safeguarding policy, and reviewing the need for formal safeguarding training for the contracted service personal assistant.
  • Review and formalise the process for checking the identity of adults accompanying children to appointments.
  • Review the service’s approach to sharing information with patients’ registered GP (with reference to good practice guidance), and formalise the service’s approach into a written policy.
  • Review the process for recording action taken in response to medicines alerts and updates.
  • Put in place a formal plan for the retention of patient records for the legally required duration, should the service cease to trade.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care