Haringey Healthcare Limited

Updated 19 May 2022

Haringey Healthcare Limited offers a range of medical services including a GP, specialist consultation, gynaecology services, paediatric care, surgical services as well as psychiatric and psychology services. The clinic is located at 573 Green Lanes London N8 0RL. The service is easily accessible by public transport. The medical consultation rooms are on the ground floor along with the reception and waiting area. The dental service is located on the first floor, which is only accessed via a staircase.

The opening hours are 9am to 7pm, Monday to Saturday and between 11am to 6pm on Sunday. Patients are advised to call 111 for any out of hours emergencies.

The medical team comprises of the registered manager, eight doctors who work a combination of part-time hours, practice nurse, two technicians that draw blood (phlebotomists) , two receptionists and two administrators.

How we inspected this service

To get to the heart of patients’ experiences of care and treatment, we reviewed the following three questions:

• Is it safe?
• Is it effective?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 19 May 2022

We carried out an announced focused inspection at Haringey Healthcare Limited on 7 March 2022 (Previous inspection July 2021 rated Requires Improvement).

We looked at three key questions and they are rated as:

Are services safe? – Good

Are services effective? – Good

Are services well-led? – Good

We carried out this announced focused inspection of Haringey Healthcare Limited under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions and to follow up on breaches of regulation we identified in an inspection in July 2021. At that inspection we found they were not operating effectively to ensure compliance with the requirements of the fundamental standards as set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. In particular:

• They were not operating effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
• They had not established robust recruitment procedures, including undertaking any relevant checks and did not have a procedure for ongoing monitoring of staff performance, training and development.

At this focused inspection on 7 March 2022 we looked at the domains of Safe, Effective and Well-led and found significant improvements had been made.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected

• information from our ongoing monitoring of data about services and

• information from the provider, patients, the public and other organisations

The clinic offers a range of medical services including a GP, specialist consultations, gynaecology services, paediatric care, surgical services, as well as psychiatric and psychology services.

The owner Dr Ibrahim Yahli is 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.

Our key findings were:

• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• The provider had systems in place to protect people from avoidable harm and abuse.
• There was a clear vision to provide a safe, personalised, high quality service.
• All staff we spoke with felt valued by the leaders and said there was a high level of staff support and engagement.
• Patients could access care and treatment from the service within an appropriate timescale for their needs.
• The service had a comprehensive business development strategy that effectively monitored the service provided to assure safety and patient satisfaction.
• Leaders and managers encouraged staff to take time out to review individual objectives and performance.
• The provider offers a comprehensive range of medical services which gives an integrated approach to healthcare under one roof.
• The doctors were involved in helping to improve the health inequalities of their local communities.

We saw the following areas of Outstanding practice:

The provider and their clinicians engaged in a number of community outreach events in order to improve care outcomes and tackle health inequalities in the community.. We saw the feedback for this work was overwhelmingly positive. The events at the local cultural centre had been attended by more than 200 women and as result, we saw data to confirm there had been a significant increase in the number of women seeking consultations and/or attending gynaecological appointments. The cultural centre also commented that these sessions had been so important in building confidence in relation to women’s health.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care