Archived: The HSGP Ltd

Updated 2 July 2018

The service includes the full range of non-emergency medical services and is available by appointment or on a ‘walk in’ basis.

The service offers appointments with the GP with referral to specialist services as required. The practice is open on a Monday to Friday from 8.30am to 6pm.

The practice treats adults and children. Patients can book appointments by telephone, email or in person. It has a registered patient list receiving primary care as required and also provides services on an ad hoc basis, for example to tourists. The practice estimates that it currently has around 6000 registered patients actively using its services.

Patient facilities are provided on the second floors and the practice has a lift and entrance ramp facilitating access. The staff team include one full time lead doctor, with four associates doctors who work a total of six sessions a week on site. There is also one full time practice manager, one full time finance manager and one full time adminstration assistant. The landlord provides a range of property services such as building risk assessments and health and safety checks.

We carried out this inspection on 2 May 2018. The inspection team comprised of a CQC inspector and a GP specialist advisor.

Before visiting, we reviewed a range of information we hold about the service and asked the practice to send us some information about the service which we also reviewed.

During our visit we:

• Spoke with the doctor, the practice manager and administration staff.

• Reviewed comment cards where patients had shared their views and experiences of the service in the days running up to the inspection.

• Reviewed documentary evidence relating to the service and inspected the facilities, equipment and security arrangements.

• We reviewed a number of patient records alongside the doctor. We needed to do this to understand how the service assessed and documented patients’ needs, consent and any treatment required.

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

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

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

Updated 2 July 2018

We carried out an announced comprehensive inspection on 2 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 The Harley Street General Practice Ltd has one location registered as HSGP Ltd located in Harley Street in London and provides family medical services including paediatrics, gynaecology, sports medicine 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.

Twenty one patients provided feedback about the service. All the comments we received were positive about the service, for example describing the doctors as helpful, caring and friendly.

Our key findings were:

• The docotors were aware of current evidence based guidance and had the skills and knowledge to deliver effective care and treatment.

• 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.