Background to this inspection
Updated
30 September 2022
The Leeds Clinic Limited is located at 2 Upland Road, Leeds, West Yorkshire, LS8 2SQ. The clinic operates out of a two storey ex-residential property which has been converted to provide clinical services. The clinic currently operates from the ground floor only.
The Leeds Clinic Limited registered with the Care Quality Commission (CQC) on 23 June 2020 to provide the following regulated activities:
- Diagnostic and screening procedures
- Family planning
- Maternity and midwifery services
- Treatment of disease, disorder or injury
The clinic provides a private general practice service to fee paying patients. The clinic also offers a range of massage and therapeutic services which are not within the scope of CQC registration.
The service is provided by one General Practitioner (GP). The GP is supported by a practice manager and three part-time receptionists.
The clinic is open during the following hours:
Monday: 9.15am until 8pm
Tuesday: 9.15am until 5pm
Wednesday: 9.15am until 5pm
Thursday: 9.15am until 7pm
Friday: 9.15am until 5pm
How we inspected this service
Before the inspection, we asked the provider to send us information about the service. This was reviewed prior to the site visit.
We reviewed information by CQC on our internal systems.
We asked a selection of staff to provide feedback via a questionnaire.
During the inspection we spoke with the provider, members of the clinic team and reviewed documentation and records (including 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
30 September 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? – Good
We carried out a comprehensive inspection at The Leeds Clinic on 30 August and 1 September 2022. This was the first inspection of this provider since their registration.
The clinic 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. There are some exemptions from regulation by CQC which relate to types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The Leeds Clinic provides a range of massage and therapeutic services which are not within the CQC scope of registration. In addition to the massage and therapeutic services, The Leeds Clinic also offers a range of private GP services including GP consultations, health checks and blood tests. These services require CQC registration and is where we focused our attention during the inspection.
The clinician for the service, who is a general practitioner (GP), 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 clinic had systems and processes in place to keep people safe and safeguarded from abuse.
- The premises were clean and tidy and there was an effective system in place to manage infection prevention and control (IPC).
- The provider had good governance systems to support service delivery.
- The clinic assessed needs and delivered care in line with relevant and current evidence-based guidance and standards.
- The clinic was responsive to feedback from patients.
- Patients could access appointments at the clinic in a timely manner.
- There were some systems in place to manage the safety of the premises.
The areas where the provider should make improvements are:
- Assure themselves that the current legionella measures in place meet the requirements set by the Health and Safety Executive.
- Improve the systems for receiving and acting upon blood results.
- Improve the accessibility of information for patients regarding how to make a complaint.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services