We carried out an announced comprehensive inspection on 16 November 2017 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.

Background

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.

Marylebone Medical Group Limited provides private GP services from its location, Marylebone Medical Group Limited, operating as Pimlico Health Centre, based at Paxall Pharmacy, 44 Lupus Street, London, SW1V 3EB. The purpose built premises also accommodates a NHS GP Practice and a Pharmacy.

Marylebone Medical Group Limited provides private GP services which are available to any fee paying patient of any age with the exception of patients registered with the NHS GP practice the service operates from.

Patients using services provided by Marylebone Medical Group Limited contact the pharmacist based at Paxall Pharmacy and contracted to provide services on behalf of Marylebone Medical Group Limited. Patients requiring or requesting a private GP appointment book through the pharmacy. Patients are seen by the GP from a clinical consulting room within the adjacent NHS GP Practice.

The service is operated by one GP supported by a service manager and a pharmacist. Those staff who are required to register with a professional body were registered with a licence to practice.

The service is open Monday to Friday from 9am until 7pm and on Saturdays from 10am until 2pm. The service does not offer out of hours services.

The service has a registered manager, 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. The service is registered with the Care Quality Commission (CQC) to provide the regulated activities surgical procedures and treatment of disease, disorder or injury.

As part of our inspection we asked for CQC comment cards to be completed by patients prior to our inspection; however the service had not had any patients in the timeframe to provide any feedback. We were also unable to interview patients as none were booked to attend the service during the inspection. The provider had not received any positive or negative feedback, suggestions or complaints from the six patients the service had seen since January 2017 when the service began.

Our key findings were:

• The provider had a clear vision to deliver high quality care for patients.
• There were systems and processes in place for reporting and recording significant events and sharing lessons to make sure action could be taken to improve safety in the practice.
• The service had clearly defined systems, processes and practices to minimise risks to patient safety.
• The service had adequate arrangements to respond to emergencies and major incidents.
• Staff were aware of and used current evidence based guidance relevant to their area of expertise to provide effective care.
• Staff had the skills and knowledge to deliver effective care and treatment.
• Staff sought and recorded patients’ consent to care and treatment in line with legislation and guidance.
• 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.
• The service had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management.
• The service had systems in place to collect and analyse feedback from patients.