We carried out an announced comprehensive inspection on 12 April 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.

Adonia Medical Clinic offers primary care appointments for non-acute health conditions. The primary care service has only been seeing patients since January 2018 although it has been registered since August 2017. The service has treated just two patients to date.

The clinic is run by the medical director who founded the clinic and is a doctor. They contract with a qualified GP on a locum basis to provide primary care consultations.

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. Adonia Medical Clinic predominantly provides aesthetic cosmetic treatments which are exempt by law from CQC regulation. Therefore, we were only able to inspect the primary medical service and not the aesthetic cosmetic services.

The medical director is the registered manager of the clinic. 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:

• Systems were in place to protect people from avoidable harm and abuse.
• There were systems in place to identify, review and learn from mistakes or incidents. The staff understood their responsibilities under the duty of candour.
• The clinical team were aware of current evidence based guidance.
• The clinical team were qualified and had the skills, experience and knowledge to deliver effective care and treatment.
• The practice had only seen two primary care patients. General feedback from people using the clinic indicated high levels of satisfaction with the clinic and staff overall.
• Information about services and how to complain was available although some information was incorrect.
• The doctor had a clear vision to provide a high quality, personalised service.
• There were systems in place to monitor and improve the quality of service provision.

There was an area where the provider could make improvements and should:

• Review the quality of medical note keeping to ensure records are clearly dated and signed.