The London Neuropsychiatry Clinic

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this.

This is the first inspection for this service since its registration with CQC. This key question has been rated as Good.

The service was in breach of legal regulation in relation to Good Governance

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

We saw evidence of patient centred discussions in MDTs, and discussions with patients during their appointment which were used to inform decisions about diagnosis and treatment. However, minutes for Multi-Disciplinary Team meetings were not always detailed.

Feedback from people using the service was positive. People felt involved in any assessment of their needs and felt confident that staff understood their individual and cultural needs. People were involved in creating their care plans. Care plans were always updated and did include patient views.

Staff provided a range of care and treatment interventions suitable for the patient group. The interventions were those recommended by, and were delivered in line with, guidance from the National Institute for Health and Care Excellence (NICE).

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. Clinical records we saw demonstrated care was provided in line with current guidance.

The service had effective working relationships with other relevant teams such as General Practitioners (GP’s), allied health services such as physiotherapy, occupational therapy and speech and language therapy. Staff held regular multidisciplinary meetings, to discuss patients and their care.

Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support.

Staff told us that they had supported patients to consider healthy activities and choices by supporting them to take part in programmes or giving advice.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Outcome measures used included Copeland Symptom List, DIVA 2.0 Diagnostic Interview for ADHD in adults. Adult ADHD Self-Report Scale (ASRS-v1.1), Pittsburgh Sleep Quality Index (PSQI), and Hospital Anxiety and Depression Scale (HADS).

The clinical staff had completed training in the Mental Capacity Act, and as part of their role completed legal assessments for mental capacity. The clinical staff assessed and recorded capacity to consent appropriately. We saw evidence of these assessments in patient’s care records. Staff took all practical steps to enable patients to make their own decisions.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded.