We carried out a review of the data available to us about 10 Harley Street on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about 10 Harley Street, you can give feedback on this service.
This service is rated as Good overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Outstanding
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at CD Practice Limited on 12 July 2022 as part of our inspection programme. This was the first inspection of this service.
The practice manager 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.
CD Practice Limited provides a consultant-led outpatients service to assess, diagnose and, if necessary, treat adults and children aged sixteen and above for a range of psychiatric conditions
We reviewed collated results from patient feedback forms and spoke with eight patients. All feedback we received from patients was overwhelmingly and consistently positive. Patients said care and support they received had exceeded their expectations and many described the service as ‘outstanding’. All patients commended the person-centred approach of the registered manager and consultant psychiatrist. All patients told us that they were partners in their care.
Our key findings were:
Patients reported that the care provided was outstanding and exceeded their expectations.
The service provided safe care. The service had clear systems to keep people safe and safeguarded from abuse. Staff appropriately assessed and managed risks to patient safety. The service maintained comprehensive patient records and carried out regular controlled drug prescription audits.
Staff developed holistic care and treatment plans informed by a comprehensive assessment in collaboration with patients. Care and treatment were planned and delivered in line with current legislation and best practice guidance produced by the National Institute for Health and Care Excellence (NICE) and suitable to the needs of the patients. The service evaluated and reflected on the quality of care provided to ensure it was delivered to a high standard.
The service had enough staff with the right qualifications, skills, knowledge, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment.
The consultant psychiatrist involved patients in decisions about care and provided written information about medicines and side effects. They advised patients on how to lead healthier lives.
The service was easy to access. Patients were able to access care and treatment from the service within an appropriate timescale for their needs. The service took complaints and concerns seriously and responded to them appropriately to improve the quality of care.
The service was well led, and the governance processes ensured that procedures relating to the work of the service ran smoothly. The provider had a clear vision for improving the service and promoting good patient outcomes.
However, some of the policies we viewed did not have an issue date, so it was not clear when these policies were due for review/renewal.
We saw the following outstanding practice:
The service demonstrated a highly person-centred approach. Consideration of people’s individual and needs, privacy and dignity was embedded into everything the service did. There was a truly holistic approach and care and treatment was tailored to meet the unique needs of each person.
Many of the patients described the service as ‘life changing’ and ‘outstanding’. We heard of examples where the registered manager and consultant had gone above and beyond to provide emotional care and support, this included maintaining regular contact outside of working hours and at the weekend. Patients described the service as very responsive.
The areas where the provider should make improvements are:
Jemima Burnage
Interim Director of Mental Health