The Harley Street Centre for Women

Updated 4 March 2022

The Harley Street Centre for Women is a small independent health service which specialises in women’s reproductive health, gynaecological health and care during pregnancy. All care provided at the service was consultant led. The service operated on the second floor of 78 Harley Street, London which the service rented from an external independent health hospital provider. The service offered outpatient consultation services and ultrasound pregnancy scans. The service only saw patients aged 18 and upwards.

For the period of November 2020 to October 2021 the service conducted;

• 2329 outpatient consultations
• 1640 ultrasound scans

The service is registered for the following regulated activities:

• Treatment of disease, disorder and injury.
• Diagnostic and screening procedures.
• Maternity and Midwifery services
• Family Planning

The service has had a registered manager in place since it first registered in 2013. This was our first inspection of this service since it registered. The service had a total of 16 staff with 10 being consultants, four administrative staff, one phlebotomist and one practice manager.

The main service provided by this hospital was outpatient consultations. Where our findings on outpatients – for example, management arrangements – also apply to other services, we do not repeat the information but cross-refer to the outpatient service.

Updated 4 March 2022

We rated this service for the first time. We rated it as good because:

• The service provided mandatory training and monitored if staff completed their training. Staff understood how to protect patients from abuse. Staff had training on how to recognise and report abuse. The service controlled infection risk well. The design, maintenance and use of facilities, premises and equipment kept people safe. The service had enough staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment. The service used systems and processes to safely prescribe, administer, record and store medicines. Incidents were recorded and managed appropriately.
• The service provided care and treatment based on national guidance and evidence-based practice. Staff monitored the effectiveness of care and treatment. The service made sure staff were competent for their roles. Managers appraised staff’s work performance and held supervision meetings with them to provide support and development. Staff worked together as a team to benefit patients. Staff gave patients practical support and advice to lead healthier lives. Staff supported patients to make informed decisions about their care and treatment.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs. Staff provided emotional support to patients, families and carers to minimise their distress. They understood patients' personal, cultural and religious needs. Staff supported patients, families and carers to understand their condition and make decisions about their care and treatment.
• The service planned and provided care in a way that met the needs of people who used the service. The service was inclusive and took account of patients’ individual needs and preferences. People could access the service when they needed it and received the right care promptly. It was easy for people to give feedback and raise concerns about care received.
• Leaders understood and managed the priorities and issues the service faced. The service had a vision for what it wanted to achieve. Staff felt respected, supported and valued. The service had an appropriate governance system. Staff identified and escalated relevant risks and issues and identified actions to reduce their impact. The information systems were secure. Leaders actively and openly engaged with patients and staff.

However:

• Records were not stored in an organised manner in line with professional guidance.
• Some staff were not aware of the provider’s internal procedure in handling a deteriorating patient, but were instead following the procedure of the hospital the provider rented space from.

Updated 4 March 2022

We rated this service for the first time. We rated it as good because:

• Records related to diagnostic imaging were kept in an organised manner in line with professional guidance. The service provided mandatory training and monitored if staff completed their training. Staff understood how to protect patients from abuse. Staff had training on how to recognise and report abuse. The service controlled infection risk well. The design, maintenance and use of facilities, premises and equipment kept people safe. The service had enough staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment. The service used systems and processes to safely prescribe, administer, record and store medicines. Incidents were recorded and managed appropriately.
• The service provided care and treatment based on national guidance and evidence-based practice. Staff monitored the effectiveness of care and treatment. The service made sure staff were competent for their roles. Managers appraised staff’s work performance and held supervision meetings with them to provide support and development. Staff worked together as a team to benefit patients. Staff gave patients practical support and advice to lead healthier lives. Staff supported patients to make informed decisions about their care and treatment.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs. Staff provided emotional support to patients, families and carers to minimise their distress. They understood patients' personal, cultural and religious needs. Staff supported patients, families and carers to understand their condition and make decisions about their care and treatment.
• The service planned and provided care in a way that met the needs of people who used the service. The service was inclusive and took account of patients’ individual needs and preferences. People could access the service when they needed it and received the right care promptly. It was easy for people to give feedback and raise concerns about care received.
• Leaders understood and managed the priorities and issues the service faced. The service had a vision for what it wanted to achieve. Staff felt respected, supported and valued. The service had an appropriate governance system. Staff identified and escalated relevant risks and issues and identified actions to reduce their impact. The information systems were secure. Leaders actively and openly engaged with patients and staff.

Diagnostic imaging is a smaller proportion of hospital activity. The main service was outpatients Where arrangements were the same, we have reported findings in the outpatient section.

We rated this core service as good because it was safe, effective, caring, responsive and well-led.

Updated 4 March 2022

We rated this service for the first time. We rated it as good because:

• The service provided mandatory training and monitored if staff completed their training. Staff understood how to protect patients from abuse. Staff had training on how to recognise and report abuse. The service controlled infection risk well. The design, maintenance and use of facilities, premises and equipment kept people safe. The service had enough staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment. The service used systems and processes to safely prescribe, administer, record and store medicines. Incidents were recorded and managed appropriately.
• The service provided care and treatment based on national guidance and evidence-based practice. Staff monitored the effectiveness of care and treatment. The service made sure staff were competent for their roles. Managers appraised staff’s work performance and held supervision meetings with them to provide support and development. Staff worked together as a team to benefit patients. Staff gave patients practical support and advice to lead healthier lives. Staff supported patients to make informed decisions about their care and treatment.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs. Staff provided emotional support to patients, families and carers to minimise their distress. They understood patients' personal, cultural and religious needs. Staff supported patients, families and carers to understand their condition and make decisions about their care and treatment.
• The service planned and provided care in a way that met the needs of people who used the service. The service was inclusive and took account of patients’ individual needs and preferences. People could access the service when they needed it and received the right care promptly. It was easy for people to give feedback and raise concerns about care received.
• Leaders understood and managed the priorities and issues the service faced. The service had a vision for what it wanted to achieve. Staff felt respected, supported and valued. The service had an appropriate governance system. Staff identified and escalated relevant risks and issues and identified actions to reduce their impact. The information systems were secure. Leaders actively and openly engaged with patients and staff.

However:

• Records were not stored in an organised manner in line with professional guidance.

We rated this service as good because it was effective, caring, responsive, and well-led although safety requires improvement.