HCA Healthcare UK Baker Street Medical Centre

Updated 29 July 2022

Roodlane Medical Limited - Baker Street, part of HCA Healthcare UK Primary Care Services is based at Unit 53, 55 Baker Street, London, W1U 8EW. In addition to this location, Roodlane Medical Limited provides GP services from six further locations in London, one in Birmingham and one in Glasgow (which is outside of our regulatory remit).

Roodlane Medical Limited - Baker Street, part of HCA Healthcare UK Primary Care Services was visited for this inspection. The location is a multidisciplinary primary care site, equipped to carry out GP appointments, health screening and vaccination services. At this location most of the patients are private fee-paying patients. The service also provides healthcare to patients arranged through their employer who could be seen at this site, but we were told that this patient group comprised only a small proportion of this location’s clientele.

Female and male doctors work at the practice supported by two nurses and two non-clinical staff. The service provides 21 GP sessions per week. The HCA Healthcare corporate team provide additional support to the whole team. Consulting hours are 8am to 6pm Monday to Friday.

A telephone line is available for consultations from 7.30am to 9pm Monday to Friday and 9am to 5pm at weekends. No service is provided on bank holidays.

Before the inspection we reviewed pre-inspection information submitted by the provider, requested by the CQC.

During our visit we spoke with the lead GP, a nurse, the compliance manager, practice receptionist (who comprise the practice team), reviewed personal care records of patients and also reviewed staff records after our site visit.

The provider is registered with the CQC to carry out the regulated activities of diagnostic and screening procedures; and the treatment of disease, disorder or injury.

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 29 July 2022

This service is rated as Good overall. (Previous inspection February 2018 – unrated)

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 Roodlane Medical Limited – Baker Street, part of HCA Healthcare UK Primary Care Services as part of our programme to inspect and rate all providers of independent health services.

The location provides private GP services for fee paying clients. The provider sees both children and adults and provides care for patients with acute illnesses. Though the service sees patients with long term conditions, the service does not provide long term condition management for patients.

The service is registered with 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 CQ which relate to particular 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. Roodlane Medical Limited – Baker Street, part of HCA Healthcare UK Primary Care Services provides occupational health services and physiotherapy which do not fall within the scope of CQC regulation. Therefore, we did not inspect or report on these services.

The lead 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 service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
• Safeguarding systems enabled staff to report and act upon concerns
• Premises were clean and we saw good systems to manage risks associated with infection prevention and control
• There were arrangements to ensure that medicines were managed safely. Although there was a programme of audit in place to review prescribing across a number of areas, this did not include audits focused on the prescribing of antibiotics.
• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines. There was an extensive programme of clinical audit across the provider organisation. However, data generated by centralised audits was not broken down by location.
• The service undertook their own feedback exercises. Data submitted by the provider showed a high level of satisfaction with the service provided.
• Staff involved and treated people with compassion, kindness, dignity and respect.
• Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
• Staff were well supported and had access to learning and development opportunities.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Undertake a review of antibiotic prescribing.
• Outline the data relevant to individual locations in centralised clinical audits.
• Have all staff complete safeguarding training in accordance with latest intercollegiate guidance.
• Clarify leadership roles within the service.
• Review systems to support and advise patients with caring responsibilities.

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