Medirex

Updated 9 March 2023

Medirex is located at 28-29 Wilcox Close, London SW8 2UD.

The provider offers private GP services to adults and children including medical consultations and specialist referrals.

The clinical team at the service is made up of 1 male private GP clinical lead. The non-clinical tasks are also managed by the GP clinical lead. The provider did not employ any non-clinical staff.

The service is open between 8am and 8pm on Mondays and Fridays, 9:30am and 6pm on Tuesdays, 8am and 4pm on Wednesdays, 6pm and 8pm on Thursdays and 9am and 12pm on Saturdays. Out of hours cover is offered by the clinical lead.

At the time of inspection the premises were due to close for refurbishment and reopen in mid-March 2023.

How we inspected this service

Before visiting, we reviewed a range of information we hold about the service and asked them to send us some pre-inspection information which we reviewed.

During our inspection we:

• Spoke with the clinical lead remotely through video conferencing.

During our site visit we:

• Spoke with the clinical lead.
• Reviewed personnel files, practice policies and procedures and other records concerned with running the service.
• Reviewed a sample of records.
• Looked at information the service used to deliver care and treatment plans.

To get to the heart of clients’ experiences of care and treatment, we always ask the following 5 questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 9 March 2023

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Medirex (Pop Up Docs Limited) on 23 February 2023 as part of our inspection programme.

Medirex (Pop Up Docs Limited) is an independent provider of GP services to adults and children.

The clinical lead 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.

Our key findings were:

• There was an effective system in place for reporting and recording significant events.
• Risks to patients were not always assessed and monitored effectively. For example, there was no clear system in place to act on safety alerts issued by government departments such as the Medicines and Healthcare products Regulatory Agency (MHRA). However, the provider had made changes following the inspection and had addressed the identified issues.
• The practice was equipped to deal with medical emergencies and staff were suitably trained in emergency procedures.
• Staff had the skills, knowledge, and experience to deliver effective care and treatment.
• Staff assessed patients’ needs and delivered care in line with current evidence-based guidance.
• To ensure and monitor the quality of the service, the service completed audits which showed the effectiveness of the service.
• Information about services and how to complain was available and they were easy to understand.
• The provider was aware of and complied with the requirements of the Duty of Candour.
• Patients said they were treated with compassion, dignity, and respect and they were involved in their care and decisions about their treatment.
• The service had good facilities and was well equipped to treat patients and meet their needs.
• The service held a range of policies and procedures which were in place to govern activity; staff were able to access these policies.
• We saw there was leadership within the service and the team worked together in a cohesive, supported, and open manner.
• The service proactively sought feedback from patients, which it acted on.

The areas where the provider should make improvements are:

• Undertake safeguarding training relevant to staff role.
• Implement a system in place review and act on medicines and safety alerts.
• Undertake appropriate environmental risk assessments.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services