We carried out an announced comprehensive inspection on 16 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 not providing safe care in accordance with the relevant regulations. The impact of our concerns is minor for patients using the service, in terms of the quality and safety of clinical care. The likelihood of this occurring in the future is low once it has been put right. We have told the provider to take action (see full details of this action in the Requirement Notices at the end of this report).

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 practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Knightsbridge Doctors – Basil Mansions provides a private general practice service.

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 Knightsbridge Doctors – Basil Mansions services are provided to patients under arrangements made by a government department. These types of arrangements are exempt by law from CQC regulation. Therefore, at Knightsbridge Doctors – Basil Mansions, we were only able to inspect the services which are not arranged for patients by a government department.

The practice manager was 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.

As part of our inspection, we reviewed 12 CQC comment cards completed by patients, where patients made positive comments about the service. They described the reception staff as welcoming, accommodating and very professional and the doctors as attentive, responsive and prompt. Other comments made were they had received a great service from the entire team and staff had most definitely been very caring and respectful.

Our key findings were:

• The clinic had clear systems to keep patients safe and safeguarded from abuse.
• There were arrangements in place for responding to medical emergencies.
• The provider had undertaken appropriate recruitment and monitoring checks for staff.
• The clinic had systems to keep clinicians up to date with current evidence-based practice.
• Staff had completed the necessary training.
• The practice had supported patients to lead healthier lifestyles.
• The practice responded to the needs of patients that wanted a same day doctor appointment at a convenient time.
• Results from blood tests and external diagnostics were sent to the patient in a timely manner using the patient’s preferred method of communication.
• Leaders had the experience, capability and integrity to deliver the practice strategy and address risks to it.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.

We identified regulations that were not being met and the provider must:

• Ensure care and treatment is provided in a safe way to patients.

You can see full details of the regulations not being met at the end of this report.

There were areas where the provider could make improvements and should:

• Review the systems and management of infection prevention and control to ensure it is effective and meets the recommendations of The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance.
• Review the procedure for seeking patient consent when carrying out minor surgical procedures to ensure it includes written consent.

We spoke with people who used the service and looked at the January 2013 feedback survey report. People were satisfied with the care and treatment they had received. One person told us that "they look after me very well". Most people said that they were "very happy" or "happy" with their consultation and explanation by staff. People received sufficient information and knew how to make a complaint.

People were cared for by suitably qualified and trained staff who received appropriate professional development. People were always assessed and treated by a GP. If specialist care was required, this people were referred to an appropriate doctor. Staff had received training in dealing with emergencies and there was emergency equipment available.

People were cared for in a clean and hygienic environment. There effective systems in place to protect people from the risk of infection. There were adequate handwashing facilities and arrangements in place for the safe disposal of clinical waste. The provider may find it useful to note that no formal infection control audits had been undertaken.

People who use the service told us that they were very pleased with the service they receive at 15 Basil Mansions. They felt welcomed by the staff and comfortable in the surroundings. They felt that the service they received at 15 Basil Mansions was a very good supplement to their NHS care. People felt that they were listened to by staff and were fully involved in decisions relating to their care.