We carried out an announced comprehensive inspection of the Health and Wellbeing Centre in Tring, Hertfordshire on 10 October 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.

Your Doctor Limited provides private GP services from two registered locations. This inspection report refers to the inspection of the service located at the Health and Wellbeing Centre in Champneys, Tring in Hertfordshire. For information about the other registered service, please select the ‘all reports’ link for Your Doctor Limited on our website at www.cqc.org.uk.

Your Doctor Limited has core opening hours of Monday to Friday from 8am to 8pm. In addition to the core hours, appointments and consultations are available over the weekend. This service is not required to offer an out of hours service. Patients who need medical assistance out of corporate operating hours are requested to seek assistance from alternative services. This is detailed in patient literature supplied by the service.

Your Doctor Limited is registered with Care Quality Commission (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.

The founder of the service was also the Lead GP and the registered manager. A registered manager is a person who is registered with the CQC 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.

As part of our inspection we asked for CQC comment cards to be completed by patients prior to our inspection, we received 12 completed comment cards which were all positive about the standard of care they received.

Our key findings were:

• The Health and Wellbeing Centre was providing safe, effective, caring, responsive and well led care in accordance with the relevant regulations.

• There were systems in place for the overall management of significant events and incidents. Risks to patients were assessed and managed.

• Systems were in place to monitor complaints.

• Staff treated patients with compassion, kindness, dignity and respect. All staff had received equality and diversity training.
• There was a process to ensure that care and treatment delivered were in accordance with evidence-based guidelines.

• Staff demonstrated that they understood their responsibilities and all had received training on safeguarding children and vulnerable adults relevant to their role.
• Patient feedback highlighted that patients appreciated the care provided and described the service as first class, caring and patient focused.