This practice is rated as Good. (Previous inspection 23 April 2018 not rated) Choose a rating

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 Coyne Medical on 16 May 2019 as part of our inspection programme. The practice is an independent GP practice located in Fulham, London.

Dr Lucy Hooper 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 practice is run.

Coyne Medical is an independent provider of medical services and offers a full range of private general practice services. This is the second inspection of the service, and the first rated inspection.

Twenty-one people provided feedback about the service. All the feedback we received was very positive about the staff and services provided by the practice.

Our key findings were:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
• The practice was aware of current evidence-based guidance and they had the skills, knowledge and experience to carry out their roles.
• The practice had systems and processes in place to ensure patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
• There was a clear leadership structure and staff felt supported by management.
• The practice had systems in place to collect and analyse feedback from patients.
• The practice was aware of their responsibility to respect people’s diversity and human rights.

The areas where the practice should make improvements are:

• Review auditing of all prescribers to ensure safe prescribing in line with best practice guidelines.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

We carried out an announced comprehensive inspection on 23 April 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.

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.

Clinic (Coyne Medical) registered with CQC under the provider organisation Coyne Medical in February 2016.

Clinic (Coyne Medical) is a private GP service located in the residential area of Parsons Green, South West London. The service provides private GP services for adult and children fee-paying patients. Services include GP consultations, child immunisations and travel vaccinations, health screening and lifestyle management. The service team comprises of one male and one female GP partner, two long-term locum GPs, a reception manager and a receptionist. The service operates from 8am to 7pm Monday to Friday and 10am to 2pm on Saturday.

Our key findings were:

The service was providing safe, effective, caring, responsive and well led care in accordance with the relevant regulations.

• There were systems in place to keep patients safe and safeguarded from abuse. All staff had undertaken safeguarding training relevant to their role.
• There were effective systems in place for recording, investigating and learning from significant events.
• The service assessed risks to patient safety and we found the premises well maintained.
• The service had adequate arrangements for response to medical emergencies and major incidents.
• Care and treatment was provided in line with evidence-based guidance.
• There was evidence of quality improvement activity and clinical audit initiatives.
• Staff worked with other health professionals where appropriate and supported patients to lead healthier lifestyles.
• Staff understood the relevant consent and decision-making requirements of legislation and guidance, including the Mental Capacity Act 2005.
• Patient feedback from a variety of resources indicated that staff were exceptionally caring and courteous, treated them with dignity and respect and involved them in decisions about their care and treatment.
• Services provided were responsive to the needs of the population served. This included timely and flexible access.
• There were clear leadership and governance arrangements to support the running of the service and delivery of high quality care.
• Staff felt very valued and supported and there was perk-box to reward staff for their contributions.
• The service was aware of and had systems to ensure compliance with the requirements of the duty of candour.

The areas where the service should make improvements are:

• Review the arrangements to ensure the verification of patients identity when registering at the service.
• Review the options for having access to local antimicrobial formulary.