The Care Quality Commission
  • Hospital
  • Independent hospital

Archived: The London Transgender Clinic

Overall: Insufficient evidence to rate read more about inspection ratings

54 Wimpole Street, London, W1G 8YJ (020) 7487 0910

Provided and run by:
London Transgender Clinic Limited

All Inspections

09 December 2021

During an inspection looking at part of the service

The provider had made the required improvements related to staff mandatory training and the incident management process.

Leaders operated effective governance processes throughout the service and with partner organisations. Staff at all levels were clear about their roles and accountabilities and had regular opportunities to meet, discuss and learn from the performance of the service.

Leaders had made arrangements for the provision of mandatory training in key skills to all staff and made sure everyone completed this training. They had set up suitable systems to have oversight of staff training.

Leaders had established effective systems to capture incidents. Staff used the internal systems to identify and escalate relevant risks and issues, and identified actions to reduce their impact.

28 September 2021

During an inspection looking at part of the service

We inspected specific parts of this service and rated it as Inadequate for well-led. We served the provider with a warning notice and told them they must make improvements because we found:

  • The service had not set up a clear protocol for staff to follow regarding mandatory safety training. Staff were not clear what subject’s they were expected to complete relevant to their role. The frequency of required training and at what level was not formally stated. There was no oversight of staff training or monitoring of their completion of training.
  • The service did not have a formalised system to report, manage and investigate safety incidents. There was a lack of a documented system for staff to follow for reporting adverse incidents and near misses. The investigative process for incidents was not clearly stated. Because of this, there was a risk that lessons learned from incidents were not being shared. Safety information was not being collected and used it to improve the service.
  • The service did not have a well set out governance arrangement or programme of audit to help staff make improvements when and if needed.

However:

  • Services were planned and took account of patients’ individual needs. People could access the service when they needed to and did not have to wait too long for treatment or follow up care.
  • Staff assessed risks to patients, made sure these were acted on and kept good care records to show the pathway of treatment and care, including details related to informed consent. Staff managed the prescribing of medicines well and made arrangements to ensure patients had access to required medicines.