We carried out an announced comprehensive inspection on 20 June 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 provider Steeplegrove Clinic Limited has one location registered as Mayfair Doctors Walk-In Clinic in London and provides a range of family medical services. The provider also carries out occupational health checks for local companies.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines.

One of the owners 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.

Twenty seven patients provided feedback about the service. All the comments we received were positive about the service, for example describing the doctors as caring, sympathetic and professional.

Our key findings were:

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

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

• The provider had effective 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 arrangements in place for the management of medicines.

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

• The patient feedback we received in the course of the inspection indicated that patients were satisfied with the service they received.

• Information about how to complain was available. The provider had not received any complaints about the service in the last year.

The areas where the provider should make improvements are:

• Review systems and processes for quality improvement cycles such as completed clinical audits.

We spoke with two people who used the service and looked at 30 filled in feedback forms. People were satisfied with the care and treatment received. They felt that treatment had been explained well and found the information provided to be comprehensive. Consent had been obtained by the doctor and the possible risks and benefits of treatment had been outlined.

Care was planned in a way to ensure people's safety. People were assessed by the doctor to determine whether treatment would be suitable. People were provided with post treatment advice and some written information whenre required. There were procedures in place to deal with medical emergencies.

The clinic was clean and well maintained. There were systems in place to reduce the risk of infection, including a policy on infection control.

There was a complaints policy in place and people were given information on how to make a complaint. The people we spoke with and the comments in written feedback were complimentary about the service.