Mayfield Clinic

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 services 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.

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.

The services provided which were within CQC’s powers to inspect were:

• Private GP and nurse appointments which could be booked when required by patients. These could be booked for a number of patient needs including vaccinations, acute conditions, assessments of conditions, home visits among other services.

• Ongoing management of patient’s medical conditions including therapies and assessments for mental health conditions.

• Health checks for patients required by employers or as requested by patients.

• Prescribing of acute medicines for therapeutic reasons.

• Referrals to external private medical services or recommendations of referrals to patients’ NHS GPs.

There are a mixture of employed staff that provide care including five GPs and nurses. There were a mix of male and female staff.

The provider managed regulated activities from one site. The premises were altered to ensure they were appropriate and safe to provide clinical care.

There is a registered manager in post. 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 received 24 comment cards from patients who use Mayfield Clinic services and all were entirely positive about staff and the service patients had received.

Our key findings were:

• The provider had systems in place to identify and learn from clinical practice in order to improve services where necessary.
• Risks associated with the provision of services were well managed.
• Medicines and related documentation were appropriately managed.
• The necessary checks required on staff who provided care were in place.
• Patients received full and detailed explanations of treatment including information enabling informed consent.
• The service was caring, person centred and compassionate.
• There were processes for receiving and acting on patient feedback.
• There were appropriate governance arrangements in place. The provider ensured clinicians maintained an up to date knowledge in their specialism and undertook relevant training and revalidation.
• There were systems in place to respond to incidents and complaints.

Professor Steve Field (CBE FRCP FFPH FRCGP) Chief Inspector of General Practice