The Care Quality Commission
  • Doctor
  • Independent doctor

Dr John Keet's Consulting Room

Overall: Requires improvement read more about inspection ratings

9 Upper Wimpole Street, London, W1G 6LJ 07710 306065

Provided and run by:
Dr John Peter Keet

All Inspections

12 July 2023

During a routine inspection

This service is rated as Requires improvement overall. (Previous inspection January 2019 – the service was found to be meeting the requirements of relevant regulations.)

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

Start this section with the following sentence.

We carried out an announced comprehensive inspection at Dr John Keet’s Consulting Room on 12 July 2023 as part of our inspection programme. Dr John Keet’s Consulting Room first registered with CQC in August 2015 and are registered for the regulated activities, treatment of disease, disorder or injury and diagnostic and screening procedures.

The registered manager is the individual provider and clinician for the company. 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.

We reviewed 6 comment cards completed by patients in this year and found them all to be positive about the care and treatment they had received.

Our key findings were:

  • The service provided care in a way that kept service users safe and protected them from avoidable harm, however gaps were identified in safety processes.
  • Concerns identified and highlighted to the provider at the last inspection were identified again at this inspection.
  • Some systems lacked oversight to ensure they were being adhered to and there were large gaps in the overall governance of policies and procedures and safety checks.
  • Service users received effective care and treatment that met their needs.
  • Service users were treated with kindness and respect and involved in decisions about their care.
  • The service delivered services to meet service users’ needs. Service users could access care and treatment in a timely way.

We found a breach of regulation. The provider must:

  • Ensure care and treatment is provided in a safe way to patients

The areas where the provider should make improvements are:

  • Implement appropriate quality improvement activity for example, carrying out documented audits of activity such as prescribing and record keeping.
  • Review the way that notes are stored so that all patient information is clear, orderly and accessible in a timely manner.
  • Carry out risk assessments for those performing roles or duties within the service so that any associated risks are considered and documented.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

21 January 2019

During a routine inspection

We carried out an announced comprehensive inspection on 21 January 2019 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Dr John Keet provides an independent doctors consultation service from premises in the Marylebone area of West London. Patients are typically referred by another medical professional and book appointments in advance. The service provides onward referral to specialist services and liaison with patients’ own GPs and other clinicians as appropriate. The service treats adults only. It typically treats around 5 patients per month.

We received 18 comment cards completed by patients in the days leading up to the inspection. These were wholly positive and described the clinician as thorough and attentive and the environment as clean and safe.

The service is registered to provide the regulated activities of: diagnostic and screening services and treatment for disease, disorder or injury.

Our key findings were:

  • There was a vision to provide a high quality, personalised service with a strong focus on well coordinated care.
  • The doctor was aware of current evidence-based guidance and had the skills and knowledge to deliver effective care and treatment.
  • Patients were able to access the service in a timely way and described the service as caring.
  • The provider had systems in place to protect people from avoidable harm and abuse.
  • The provider had systems in place to record, monitor, analyse and share learning from significant events and safety alerts.
  • The service had arrangements in place to respond to medical emergencies.

There were areas where the provider could make improvements and should:

  • Review and implement appropriate quality improvement activity for example, carrying out documented audits of activity such as prescribing and record keeping.
  • Review the way that notes are stored to ensure these can be safely transported within the premises.
  • Review the process for updating policies so the date of the last or next review is clear.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice