London Neurology Clinic

This service is rated as Good overall.

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? – Good

We carried out an announced comprehensive inspection at London Neurology Clinic as part of our inspection programme. This inspection in February 2023 was the service’s first inspection since registration with the Care Quality Commission.

London Neurology Clinic is an independent healthcare service for adult patients with complex neurological disorders.

Our key findings were:

• The service was providing safe care. However we found they were not suitably equipped to manage and respond effectively to a medical emergency.
• The service was providing effective care. The effectiveness and appropriateness of the care provided was reviewed. There was some evidence of quality improvement activity, however this was not regular or consistent.
• The service was providing caring services. Staff treated patients with compassion, kindness, dignity and respect. Feedback from people who used the service was positive. However processes to gather patient feedback were not developed.
• The service was providing responsive care in accordance with the relevant regulations. People were supported to access the service when they wanted to.
• The service was providing well-led care. Leaders have the capacity and skills to deliver high-quality, sustainable care. They demonstrated a vision to deliver high quality care and promote good outcomes for patients.

The areas where the provider must make improvements as they are in breach of regulations are:

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

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• We told the provider they should implement a process by which a trained chaperone can be made available to patients.
• Implement systems and processes for regular quality improvement activity including prescribing and clinical audits.
• Implement systems and processes to support routine patient feedback opportunity.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services