We carried out an announced comprehensive inspection on 9 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 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.

Samedaydoctor Canary Wharf Clinic is an independent health service based in London.

Our key findings were:

• The service had systems to assess, monitor and manage risks to patient safety, and reliable systems for appropriate and safe handling of medicines.
• The service learned from and made changes as a result of incidents and complaints.
• The service reviewed the effectiveness and appropriateness of the care provided through quality improvement activity, including clinical audits.
• The service treated patients with kindness, dignity and respect, and patient feedback was positive about the service experienced.
• The service organised and delivered services to meet patients’ needs.
• There was a clear leadership structure, and staff told us that they felt able to raise concerns and were confident that these would be addressed.
• The service had a governance framework in place, which supported the delivery of quality care, and processes for managing risks, issues and performance.

We saw one area of notable practice:

• The lead GP emails unwell patients two to three days after their appointment to see if they were feeling better or required any further assistance.

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

• Review recruitment and chaperoning processes to ensure relevant risk assessments are carried out for staff and clearly documented.
• Consider the necessity for additional patient identification checks for adults bringing children for appointments, including assuring themselves that the adults bringing a child have parental responsibility.
• Consider reviewing current evidence based guidance for the treatment of hypertension and the interactions of antihypertensives.
• Review the process for monitoring and recording the refrigerator temperature.
• Review training requirements for staff in relation to consent and the Mental Capacity Act.