Greenwood Surgery at Charles Stanley & Co. Limited

Updated 3 October 2018

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.

Services are provided from:

Greenwood Surgery at Charles Stanley

55 Bishopsgate

London

EC2N 3AS

The service is open on Thursdays from 7.30am to 5pm.

The inspection was led by a CQC inspector who was supported by a specialist advisor who:

• Carried out an announced inspection on 17 May 2018.
• Spoke with both members of staff who provide the service.
• Reviewed a sample of patient records.
• Looked at the comments made by patients on seven CQC comment cards and spoke with three patients about their experiences.
• Reviewed audits, internal reports and governance systems.

We informed stakeholders that we were inspecting the service; however, we did not receive any information of concern from them.

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

A GP and a registered nurse provide clinical treatment for eligible employees of the company that contracts the service. There are no other staff in the service. The clinical team provides corporate annual and new employee health checks and GP appointments, which can be booked in advance or attended on a drop-in basis. The service provides access to GP services for patients who would otherwise need time off work to attend routine appointments and check-ups. The service provides direct referrals to specialist consultants through a corporate insurance plan or to NHS services.

The service sees an average of 20 patients per month for phlebotomy and corporate health screens and 50 patients per month for GP appointments and walk-in appointments. The number of patients who can access the service depends on the workforce of the contracting organisation and is usually between 500 and 700 people.

There is a main consulting and examination room and a second room for nurse reviews and discussions. Both rooms are located in the building occupied by the contracting company and are secured, managed and maintained by that organisation. There are facilities on site to take blood samples and the rooms are self-contained for infection control purposes. 

Updated 3 October 2018

We carried out an announced comprehensive inspection on 17 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.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. 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. At Greenwood Surgery at Charles Stanley services are provided to patients under arrangements made by their employer. These types of arrangements are exempt by law from CQC regulation. Therefore, at Greenwood Surgery at Charles Stanley, we were only able to inspect the services which are not arranged for patients by their employer.

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.

Thirteen people provided feedback about the service. All patients noted their experiences had been positive and each individual commented the service always felt individualised, caring and compassionate. Eight patients commented positively on their involvement in health check results or treatment plans and each patient said the service was convenient and easily accessible.

Our key findings were:

• Care and treatment was delivered by a well-trained team that maintained up to date knowledge of the latest clinical guidance.
• There was a clear and demonstrable focus on patient-centred care and staff monitored changing needs and adapted the service accordingly.
• The clinic offered highly flexible accessibility options and patients placed great value on this.
• Clinical staff used a holistic approach to GP appointments and screenings and had detected the early signs of serious illness as a result. Referrals to specialist services were made promptly and in discussion with patients.
• There was a strong focus on lifestyle-related health and the clinical team worked closely with patients and the contracting organisation to improve mental health and support healthier living.
• Staff demonstrated passion, motivation and a drive for innovation that promoted high quality care.