We carried out an announced comprehensive inspection on 31 October 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 clinic was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This 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 CQC 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. Pure Sports Medicine (Finsbury Square) is part of a group of 7 sports and musculoskeletal clinics situated within London. The clinic provides a range of services including consultations with Consultants in Sports, Exercise and Musculoskeletal medicine (SEM), physiotherapy, osteopathy, podiatry, massage therapy as well as strength and conditioning coaching, physiological and lifestyle assessments. Services such as physiotherapy, osteopathy, podiatry and massage therapy are not within CQC scope of registration. Therefore, we did not inspect or report on these services. This inspection focussed on the services provided by the consultants in Sports , Exercise and MSK medicine (SEM).

The Operations 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.

13 people provided feedback about the service via CQC comment cards and 15 people provided online feedback directly to the CQC, all of which were positive about the Clinicians and the services provided.

Our key findings were:

• The clinic had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the clinic learned from them and improved their processes.
• The clinic was appropriately equipped to deal with medical emergencies.
• The clinic reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients commented via CQC comment cards they found it easy to book an appointment and reported the clinic was responsive to their needs.
• There was a clear vision and strategy, along with a strong governance framework in place which included all key policies and guidance.

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

• Review improvement activity to ensure 2-cycle clinical audits are carried out as planned.
• Review the need to have a hearing loop on site to readily meet the needs of people who are hard of hearing.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Clinic