The Andrology Company Also known as International Andrology - Adam Health

Updated 24 August 2022

The Andrology Company is operated by The Andrology Company Ltd. The service opened in September 2021. It is a private clinic in London. The clinic offers services on self-referral or referral from other healthcare professionals.

The clinic has a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. 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.

The main service provided is surgery. The service offers andrology and urology services and day case operations. The clinic has an operating theatre, a recovery area and a clinic room. The clinic provides specialist services in men’s sexual health, urogenital health, fertility and well-being. The clinic offers circumcisions for medical reasons only and provides Low Extracorporeal Shockwave Therapy (LEWST) for the treatment of erectile dysfunction and Peyronie’s Disease.

Between July 2021 and June 2022, the breakdown of clinic activity was:

• initial appointments – 1433
• non-surgical treatment appointments – 1839
• surgeries – 277
• follow up appointments – 917

Track record on safety since registration in September 2021:

• No never events
• One clinical incident
• No serious injuries
• No incidences of clinic acquired Meticillin-resistant Staphylococcus aureus (MRSA),
• No incidences of clinic acquired Meticillin-sensitive staphylococcus aureus (MSSA),
• No incidences of clinic acquired Clostridium difficile (c. diff)
• No incidences of clinic acquired E-Coli.
• Four complaints.

This is the first inspection of the service since registration in 2021. Our inspection team was led by a CQC lead inspector, specialist advisor and an assistant inspector.

Updated 24 August 2022

We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well.
• Staff assessed risks to patients, acted on them and kept good care records. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it.
• Staff worked well together for the benefit of patients, advised them on how to lead healthier lives and supported them to make decisions about their care.
• Patient feedback was positive and showed that staff treated patients with kindness, respected their privacy and dignity, provided emotional support to patients, and helped them understand their condition(s).
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work.
• The service had an open culture where patients and staff could raise concerns without fear. Staff felt respected, supported and valued.
• Leaders identified and escalated relevant risks and issues and identified actions to reduce their impact.

However:

• Leaders had implemented governance structures and processes which were in their infancy and more time was needed to embed them.

Victoria Vallance

Director of Secondary and Specialist Healthcare

Updated 24 August 2022

Surgery was the main activity at this service. See the overall summary for details.