Background to this inspection
Updated
15 March 2022
The provider, Dr Jessica Harland, was registered by the CQC in December 2020 to provide the regulated activities of Diagnostic and screening procedures and Treatment of disease, disorder or injury.
The service location for the CQC registration is 16 Kemplay Road, London, NW3 1SY. However, no service users are seen at this location.
The service provides private consultations with a general practitioner via home visits and video conferencing. Service users can access a wide range of blood tests and diagnostic screening via third-party organisations. The service is available to children and adults.
The opening hours are Monday to Sunday 8am to 8pm.
Details of the service are set out on the website - www.drjessicaharland.co.uk
Currently the registered manager is the only clinician working in the service and providing general practitioner consultations. An administrator provides ad-hoc administration services.
How we inspected this service
Before the inspection we gathered and reviewed information from the provider. During inspection, we interviewed the registered manager at the registered location. We also reviewed a sample of service user records and consultations.
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
15 March 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 an announced comprehensive inspection of Dr Jessica Harland Office (the service) as part of our inspection programme. It was the first inspection of the service, which was registered by the CQC in December 2020.
The service offers home visits and video consultations with a general practitioner. In addition, the service provides access to laboratory blood tests and radiology appointments under arrangements with third-party service providers.
The GP principal 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 service had systems to manage risk so that safety incidents were less likely to happen. When they did happen, the provider learned from them and improved their processes.
- The service routinely reviewed the effectiveness and appropriateness of the care provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- The service had systems and processes in place to ensure that patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
- Patients were able to access care and treatment within an appropriate timescale for their needs.
- The service had systems in place to collect and analyse feedback from patients.
- There was a clear leadership structure to support good governance and management.
Whilst we found no breaches of regulations, the provider should:
- Review the risk assessment for non-clinical staff who carry out chaperone duties and have not received a disclosure and barring service check.
- Continue working towards completed audit cycles.
- Continue to review practice policies to ensure they are up to date.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care