150 Harley Street

Updated 13 January 2023

150 Harley Street is an independent health service offering diagnosis and treatment for ear, nose and throat (ENT) conditions. The service is available to both adults and children. The clinic is located on the ground floor of 150 Harley Street, with clinical rooms available both on the ground floor and first floor.

150 Harley Street employs a lead clinician (the registered manager), a service manager and two administrative/reception staff members. The provider leases rooms to ENT consultants who carry out their own consultations and diagnoses.

150 Harley Street offers pre-bookable face-to-face and virtual appointments to adults and children. The service is open Monday-Friday between 8:30am to 6pm.

How we inspected this service

We gathered and reviewed pre-inspection information before inspecting the service; this included their policies, guidelines and formal patient feedback. On the day of the inspection, we spoke with the service manager, an administrative staff member and the registered manager. We also reviewed patient records, observed infection prevention and control and emergency medication measures and looked at recruitment and training files. To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

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

Updated 13 January 2023

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at 150 Harley Street. This was part of our inspection programme as they had not been inspected since November 2013.

150 Harley Street is an independent healthcare provider offering diagnosis and treatment for ear, nose and throat (ENT) conditions to adults and children.

The lead clinician is the register manager. A registered manager is a person registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered people. 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 provided care in a way that kept patients safe and protected from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Clinicians and staff dealt with patients with kindness and respect and were committed to involving people in decisions about their care.
• The service adjusted how it delivered services to meet the needs of patients, especially so since the COVID-19 pandemic. Patients could access care and treatment in a timely way.
• The way the service was led and managed promoted the delivery of high-quality, person centred care.

The areas where the provider should make improvements are:

• Ensure staff training and appraisals are completed in an appropriate timeframe.
• Ensure DBS checks are carried out for all staff members prior to employment.
• Ensure there is a written risk assessment for the medicines that is not in stock in the clinic.
• Ensure clinical audits are conducted to evidence quality improvement.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services