We carried out an announced comprehensive inspection of this service on 26 October 2017 where breaches of legal requirements were found. After the comprehensive inspection, the service wrote to us to say what they would do to meet legal requirements in relation to a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this announced focused inspection on 23 May 2018 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Regent Street Clinic Leeds on our website at www.cqc.org.uk.

We carried out an announced follow up inspection on 23 May 2018 to ask the service the following key question; Are services well-led?

Our findings were: Are services well-led?

We found that this service was now 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.

Regent Street Clinic Leeds is an independent provider of GP services owned by FBA Medical Limited. The clinic is located at 41 Park Square East, Leeds, LS1 2NE. The clinic offers privately funded services to patients who reside in Leeds and patients who live in other areas of England who require their services. The clinic also offers a range of specialist services and treatments such as travel vaccinations and advanced medical aesthetics to people on both a walk-in and pre-bookable appointment basis. FBA Medical Limited provides services at other locations in Leicester, Sheffield, Nottingham and Derby.

The clinic is based in the city centre of Leeds. The property consists of a patient waiting room and reception area on the ground floor and consulting rooms which are located on the first floor of the building. There is on street car parking available.

The clinic is a member of the Independent Doctors Federation (IDF). The IDF is a designated body with its own responsible officer. The clinic is an accredited yellow fever centre which is registered with NATHNaC (National Travel Health Network and Centre). The practice is also registered with the British College of Aesthetics Medicine (BCAM).

The Leeds clinic employs one doctor (male), one practice manager and a receptionist.

The medical practitioner is the registered manager who is based at the Nottingham head office. 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.

The practice is open five days a week:-

Monday 9am-12pm

Tuesday 9am-2pm

Wednesday 9am-12pm

Thursday 9am-2pm

Friday 9am-2pm

This service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. At Regent Street Clinic the aesthetic cosmetic treatments that are also provided are exempt by law from CQC regulation. There are some exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

They are registered with the Care Quality Commission (CQC) to provide the following regulated activities:

• Treatment of disease, disorder or injury
• Diagnostic and screening procedures

The group practice manager told us that the proportion of their work was:

• Private GP work 11%

• Travel vaccines and advice 52%

• Facial aesthetics 19%

• Sexual health 8%

• Occupational health 6%

• Medical examinations 3%

Our key findings were:

• The provider had established effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

• The provider had reviewed safeguarding contact details to include localised details.

The provider had reviewed arrangements for the monitoring of infection control auditing activity. We were assured that standards of cleanliness were consistently maintained and improved. 

We carried out an announced comprehensive inspection on 26 October 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 not providing well-led care in accordance with the relevant regulations.