• Community
  • Community substance misuse service

Archived: The Belgravia Clinic

25a Eccleston Street, Belgravia, London, SW1W 9NP (020) 7823 6840

Provided and run by:
The Stapleford Private Clinic Limited

Important: The provider of this service changed. See new profile

All Inspections

13 February 2014

During a routine inspection

We spoke with two people who used the service. People were satisfied with the care and treatment received. They felt that treatments had been explained well and found the information provided to be comprehensive.

Care was planned in a way to ensure people's safety. People were assessed by the doctor to determine which treatment would be suitable. People were provided with ongoing treatment advice. There were procedures in place to deal with medical emergencies.

There were effective systems in place to reduce the risk of infection. There were systems in place to reduce the risk of infection which included a policy on infection control.

There were effective systems in place to monitor the quality of the service. Formal staff meetings took place once a month to discuss the feedback that people had provided and other matters.

24 October 2012

During a routine inspection

We spoke with two people using the service and they were clear about the reasons for their treatment. One person told us that they had been informed that the centre was reviewing its prescribing policy and although they did not agree with it, they understood the reasons why it was necessary.

People using the service who were prescribed medicines outside national guidelines, signed a declaration to accept such treatment.

Records reviewed showed that people using the service had individual risk assessments and care plans that were related to those risk assessments. One person described the staff at the centre as "quite marvellous".

Although staff had attended training on the protection of vulnerable adults, the registered manager was unclear about the procedure to follow should there be concerns about the person's welfare.

A doctor authorised to prescribe medicines recorded the dosages prescribed to people using the service within their medical records.

We saw evidence that staff had attended various training courses including health and safety, infection control and managing aggression and violence. There were arrangements in place to supervise and appraise staff other than the registered manager on their performance.

Staff made electronic records of people's care that were clear and concise. Each person using the service had a single set of medical records, where all members of staff recorded their consultations.

5 March 2012

During an inspection looking at part of the service

Patients we spoke with were aware that their prescribed medicines were outside national guidelines. They told us that they made an informed decision to be prescribed their medicines. Patients said that the prescribing practice of the centre had enabled their lives to be 'stable' and free from illicit heroin use.

The annual survey of patients for 2011, showed that the majority were satisfied with their treatment. Most were having the needs met and felt their lives had improved since being registered with the centre.

15 December 2011

During a routine inspection

People we spoke with told us that they understand the care, treatment and support

choices available to them. They told us that they are treated with respect and have their

privacy and dignity maintained. People using the service are given information about their

medicines; however, we did not see evidence that each person is informed of decisions to

prescribe medicines outside clinical guidelines and recommendations.

People using the service told us that they received very good care, but we found that

people do not always experience effective, safe and appropriate care and treatment.

People using the service told us that the medical staff were very helpful with prescribing

them medicines they needed.

27 September 2011

During a routine inspection

People we spoke with told us that they understand the care, treatment and support choices available to them. They told us that they are treated with respect and have their privacy and dignity maintained. People using the service are given information about their medicines; however, we did not see evidence that each person is informed of decisions to prescribe medicines outside clinical guidelines and recommendations.

People using the service told us that they received very good care, but we found that people do not always experience effective, safe and appropriate care and treatment. People using the service told us that the medical staff were very helpful with prescribing them medicines they needed.

5 May 2011

During an inspection in response to concerns

On this occasion we did not speak to people who use the service. However, in order to obtain evidence of the centre's prescribing practice and programme of care, we looked at a selection of records of the people using the service. This evidence confirmed that the clinic does not always follow UK clinical and professional guidelines. There is high dose prescribing, multiple drug prescribing and not everyone had a structured care plan.

Medical staff told us that The Stapleford Centre does things differently from recommended guidelines. The UK guidelines on clinical management on drug misuse and dependence (known as the orange book) is referred to and taken into account, but the differing needs of people using the service takes precedence. There were medical records detailing substance misuse history and current medication.