Harley Street Dr

Updated 15 November 2021

The registered provider for the service is Harley Street Dr Limited. The provider is registered to carry out the regulated activities of diagnostic and screening procedures, maternity and midwifery services, surgical procedures, transport services, triage and medical advice provided remotely and treatment of disease, disorder or injury at Harley Street Dr, 23 Harley Street, London, W1G 9QN. Dr Vikram Murthy is the registered manager.

23 Harley street is a leased serviced consultation room, the building maintenance, prevention and management of infectious diseases were therefore carried out by the consultation room receptionist employed by the property owner.

Harley Street Dr is operated by a GP, supported by a business manager and administration team. At the time of the inspection due to the pandemic the practice nurse had not been involved in the GP service. The provider also operates an NHS GP service.

Harley Street Dr provides a range of independent services for children and adults. These include a GP service, health screening, sports and physical injuries, sexual health, dermatology, travel and immunisation and baby scans. The costs of the service are clearly set out on the website. At the time of the inspection due to the pandemic the service had seen only 50 patients under the GP service. Further details can be found at the providers website https://www.harleystreetdr.com/services/.

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 regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. For example, the testing for COVID 19.

The service registered with the Commission 20 March 2019. Due to the pandemic the service had seen only 50 patients at the time of the inspection. This was from requested visits to patients staying in hotels and a GP service for film crews.

Patients could contact the service 24 hours a day via the provider website or by a telephone. Consultations were available from 7am to 7pm every day. The service offered face to face visits, telephone and online appointments.

How we inspected this service

• Prior to the inspection information was requested from the provider and reviewed by the inspection team.
• A site visit was carried out, where we spoke with staff, reviewed patients records and the service documents.
• Information was also submitted by the provider following the inspection.

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.

Updated 15 November 2021

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

The provider was registered for the regulated activities of diagnostic and screening procedures, maternity and midwifery services, surgical procedures, transport services, triage and medical advice provided remotely and treatment of disease, disorder or injury on 20 March 2019. This was the first announced comprehensive inspection of the service following CQC registration.

We carried out an announced comprehensive inspection at Harley Street Dr, 23 Harley Street, London, W1G 9QN on 20 October 2021.

Harley Street Dr provides a range of independent services, a GP service, health screening, sports and physical injuries, sexual health, dermatology, travel and immunisation and baby scans. The costs of the service are clearly set out on the website. At the time of the inspection due to the pandemic the service had seen only 50 patients under the GP service. The service was located in a serviced consultation room at 23 Harley Street. The GP working at the service was the provider.

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 regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Dr Vikram Murthy 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.

We received feedback from three patients prior to the inspection. All were positive about the service they had received. They stated they were always quick and punctual and ready to help when needed.

Our key findings were:

• The service had systems in place to keep people safe and safeguarded from abuse.
• The management team had followed up all of the premises, fire and infection prevention and control risk assessments with the property owner.
• Information was available to deliver safe care and treatment.
• The service had systems in place to ensure appropriate and safe handling of medicines.
• The service had a system in place to respond to complaints.
• Patients received effective care and treatment that met their needs.
• Staff treated patients with kindness and respect and involved them in decisions about their care.
• The service organised and delivered services to meet patients’ needs.
• Patients could access care and treatment in a timely way.
• The way the service was led and managed promoted the delivery of high-quality, person-centred care.

The areas where the provider should make improvements are:

• Continue to have oversight of the property’s risks (including the steep stairs) and encourage improvements where appropriate.
• Continue to take action to manage and prevent infectious diseases, and ensure that the property owner implements cleaning schedules, and continues with social distancing.
• Check that staff not directly employed by the provider have the necessary training for their role.
• Review policies and procedures to check they reflect staff practices at Harley Street Dr.
• Carry out an annual review of patient feedback.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care