We carried out an announced comprehensive inspection on 4 September 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.

The service is aimed primarily at patients diagnosed with neurological conditions (such as movement disorders) and covers patients’ physical and mental health. The service offers private consultations with specialist doctors and therapists.

The service manager 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.

One patient provided feedback about the service. They were positive about their experience and the results they were seeing.

Our key findings were:

• There was a clear vision to provide an innovative, personalised, high quality service.

• The clinicians were aware of current evidence based guidance and had the skills and knowledge to deliver effective care and treatment.

• Patients were able to access the service in a timely way. Staff were caring.

• The provider had systems in place to protect people from avoidable harm and abuse.

• The provider had systems in place to record, monitor, analyse and share learning from significant events.

• The service had arrangements in place to respond to medical emergencies.

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

• Review the clinical governance mechanisms in place that directly relate to the clinic’s priorities and goals, for example, develop tools such as clinical audit and clinical meetings to drive improvement as the service expands.
• Review the monitoring process for emergency medicines to include checks of individual items .
• Review the process for managing safety alerts so that managers can check and record that any required actions have been implemented.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice