Updated 2 February 2024
Queens Clinic is a private gynaecological service located on the second floor at 75-76 Wimpole Street, Marylebone, London, W1G 9RT. The service provides private consultations to adults. Services offered include gynaecological diagnostic and minor surgery procedures. We carried out an announced comprehensive assessment of Queens Clinic, including a site visit on 6 March 2024 to review the breaches of regulation. We found that the breaches of regulation from the previous inspection of 16 and 24 January 2024 had not been addressed. Following this inspection, the service is rated as inadequate overall, and for providing safe, effective and well-led services. Our key findings were: The clinical records system at the service could only be interrogated by patient name, date of birth or address. The service had not implemented processes to ensure that it was following its own safeguarding of adults policy and protocol. A continued lack of complete audits sufficient to provide assurance that safe care was being provided and to demonstrate quality improvement. Consent processes at the service were unclear, and patient records did not include fully documented conversations. The service had not implemented any changes to clinical record keeping protocols. For procedures or treatments where there were no National Institute for Health and Care Excellence (NICE guidelines), it was unclear what processes the service was following. There was no clear action plan in place to address shortages in staffing. The service had not improved or developed leadership and governance procedures to address breaches of CQC regulations identified in previous inspections. The service continued to have a lack of effective audits, and risk assessments for undertaking procedures under local anaesthetic without a second regulated clinician. The following regulations were not being met: Regulation 12 - Safe care and treatment. Regulation 17 - Good governance. Regulation 18 - Staffing.