Dr John Keet's Consulting Room

Updated 18 September 2023

Dr John Keet’s Consulting Room is located at 9 Upper Wimpole Street, London W1G 6LJ. Dr John Keet is a consultant physician specialising in internal medicine and the care of older people. He is listed on the GMC’s specialist register for geriatrics. Dr Keet provides private consultations to adult patients from premises in the Marylebone area of London. The service is provided by appointment only. Patients are typically referred to Dr Keet by their NHS GP or private doctor. Dr Keet does not normally offer home visits unless patients are housebound or unable to travel.

The service is located in a converted property. The consultation room is located on the second floor which is accessible by stairs only.

The service is provided by the doctor (male). A receptionist is provided on the ground floor of the building by the property management company. The provider has additionally contracted 2 administrative assistants (primarily in bookkeeping roles) on a zero hours contract.

The service website can be accessed through the following link: https://www.drkeet.com/

The clinic is open from 9am to 6pm Monday – Friday and will offer occasional Saturday appointments based on patient need. The clinic does not open on Sundays.

How we inspected this service

Before visiting, we reviewed a range of information we hold about the service and asked them to send us some pre-inspection information which we reviewed.

During our inspection we:

• Spoke with the registered manager/doctor face to face.
• Reviewed files, practice policies and procedures and other records concerned with running the service.
• Reviewed a sample of service user records.
• Reviewed 6 comment cards completed by patients in 2023, in advance of the inspection.
• Looked at information the service used to deliver care and treatment plans.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 18 September 2023

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