We carried out an announced comprehensive inspection at My Medyck Dental and Medical Centre 0n 12 June 2018. We found that this service was not providing safe care in accordance with the relevant regulations for the Medical Centre.

This inspection was a focused follow up inspection carried out on 07 February 2019 to confirm the service had carried out their plan to make improvements. This report covers our findings in relation to those requirements and any additional improvements made since our last inspection.

Our key findings were as follows:

The service had medicines for use in emergencies and equipment to manage children’s emergencies and these were checked on a regular basis.

The service had formally risk assessed the need for, or provide Atropine, used in emergency box while fitting contraception coils. The service had decided to discontinue the fitting of coils and therefore did not require Atropine.

In addition, improvements had been made in the following areas we had recommended to:

The service had reviewed the policy on training for the doctors to ensure all doctors were undertaking training as required.

The service had reviewed the process of clinical quality improvement and had systems in place to ensure it was shared with the clinical team, and reflected the range of specialisms offered. The service had now had a system were all audits were reviewed by the Responsible officer who provided clinical oversight.

The service was also reviewing the use of the manual bell used for emergencies to ensure it was the safest for them to use. They had been carrying out checks to enable them to judge how effective the system was prior to introducing another system.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

We carried out an announced comprehensive inspection on 12 June 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.

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.

Background

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.

My Medyck Dental and Medical Centre is registered with the Care Quality Commission to provide diagnostic and screening procedures and treatment of disease, disorder or injury (TDDI).

My Medyck Dental and Medical Centre provides primary healthcare services primarily for the East European community living in the West/ North West London area. The service offers private consultations with a Cardiologist, GP, Paediatrician, Psychiatrist and a Urologist.

The service is registered to see both children and adults.

The service is located in a rented private building on the ground floor. The service has access to a waiting area and private consultation rooms. At the time of our inspection the clinic staff present comprised of the provider who is the owner of the business, a GP, an assistant practice manager and front office administrative staff. Administrative staff including the assistant practice manager are responsible for both the medical and dental service. We were told that the service also employs call centre staff working from Poland to assist with administrative duties.

The clinics opening times are from 9am- 8pm Monday – Saturday and 9am-6pm on Sundays. Late evening appointments are available from 8am-9pm on Saturdays.

When the clinic is closed all calls were directed to the owner of the business who forwarded clinical queries to the appropriate clinical staff.

Since 2014 to 2017 the service has conducted 48500 consultations across the dental and medical service. The provider explained that the service retained 50% of their customers and attracted a further 50%.

The cost of the service for patients is advertised on the clinics website and leaflets at the practice.

The owner of the service is the CQC 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 obtained feedback about the service from 48 Care Quality Commission patient comment cards. This feedback was for both the medical and dental services. Forty-six comment cards highlighted positive feedback relating to the conduct and care provided by staff at the clinic. However, two comment cards were not so positive, highlighting concerns with the quality of care provided and the prices charged. It was not clear if this related to the medical or dental service.

We also spoke to two patients. They both reported being pleased with the services offered at the clinic.

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 and improve the use of the manual bell used for emergencies.
• Review and improve  the policy on training for the doctors and decide on how the doctors training was updated and the consequences of not undertaking training when required.
• Review the process of clinical quality improvement to ensure it is shared with the clinical team, and reflects the range of specialisms offered.