We carried out an announced comprehensive inspection on 31 May 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.

Randox Health London is a private healthcare service that provides health assessments for its patients using a range of screening processes. Following the assessment and screening process patients undergo a consultation with a healthcare expert to discuss the findings and any recommended lifestyle changes. Where necessary referrals to other services are made, for example to a specialist consultant.

The clinic manager for the service is also 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.

We spoke with two patients on the telephone and reviewed the service’s online patient survey for 2016-2017. The comments were positive about the staff and the service provided.

Our key findings were:

There was an open and transparent approach to safety and a system in place for reporting and recording significant events.

•The service was offered on a private fee-paying basis for adults only.

•The service had clearly defined and embedded systems to minimise risks to patient safety.

•Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.

•Patients were provided with information about their health and with advice and guidance to support them to live healthier lives.

•Patients we spoke with and results from the service’s independent online survey demonstrated that patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.

•Information about services and how to complain was available.

•The service had good facilities and was well equipped to treat patients and meet their needs.

•There were clinical governance systems and processes in place to ensure the quality of service provision. Staff had access to all standard operating procedures and policies.

•There was a clear leadership structure and staff felt supported by management. The service proactively sought feedback from staff and patients, which it acted on.

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

•Review the inclusion of child safeguarding, basic life support and Mental Capacity Act as part of the mandatory training.

•Consider implementing a 2-cycle audit process to help measure the quality of improvement.

•Review the consent form and consider including a provision to share information with the patient’s NHS GP.

•Review the effectiveness of the current portable wheelchair ramp used to assist patients into the building.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice