We carried out an announced comprehensive inspection on 15 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.

The provider Dr Charlie Easmon Limited has one location registered as Your Excellent Health located in Harley Street in London and provides occupational health assessments such as physical exams, blood testing and hearing assesments and travel vaccinations.

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.

The doctor 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.

Nineteen patients provided feedback about the service. All the comments we received were positive about the service, for example describing the doctors as friendly, professional and very experienced.

Our key findings were:

• 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 or 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:

• Carry out a risk assessment in relation to having no defibrilator to determine what they would do in an emergency.

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

We were not able to speak with any people using this service as no one had an appointment during our visit. The registered manager had arranged this so that he had time to discuss the service with us. We saw the patient feedback forms for May 2012 and these showed that people were satisfied with the service at Your Excellent Health Service.

The patient survey results have not been collated into a report yet. This will be undertaken as the service develops. Your Excellent Health Service has been registered since December 2011.