We carried out an announced comprehensive inspection on 21 February 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 this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found 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.

Medcentres Plus is private GP service based in Salisbury, Wiltshire. The practice offers a range of other services including cosmetic (surgical and non-surgical) treatments, earfold implants and vaccinations.

The Nominated Individual is also known as 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.

32 people provided written feedback about the service, by completing CQC comment cards, and we also spoke to two patients during our inspection. Patients told us that care was excellent, and that they felt involved in decision-making about the care and treatment they received. They told us they felt listened to and supported by staff, and had sufficient time during consultations to make an informed decision about the choice of treatments available to them. All of the 32 CQC comment cards we received were highly positive and aligned with these views.

Our key findings were:

• Patients told us they found it easy to access appointments with a GP or nurse.
• The practice offered out-of-hours appointments if required.
• The practice offered a range of vaccinations for children, adults and travel purposes.
• The practice held a register of its most vulnerable patients which was updated and monitored daily. Appointments were prioritised as appropriate.
• The practice developed evidence-based treatments such as a minimally invasive procedure for ear reshaping.
• The practice offered a range of healthchecks with a nurse or GP.
• The practice offered a minimally-invasive pre-natal test to screen for chromosomal abnormalities.
• Patient satisfaction with the standard and quality of services received was high.