The Care Quality Commission
  • Doctor
  • Independent doctor

Orchard Clinic

Overall: Good read more about inspection ratings

89 St Margarets Road, Twickenham, Middlesex, TW1 2LJ (020) 3198 3100

Provided and run by:
Richmond Psychology Limited

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Orchard Clinic on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Orchard Clinic, you can give feedback on this service.

04 April 2022, 11 April 2022

During a routine inspection

This service is rated as Good overall. (This service has not been inspected previously).

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced inspection at Orchard Clinic as part of our inspection programme.

This service provides outpatient mental health assessment and treatment for adults and children.

The registered manager of the service is a clinical psychologist. 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.

Our key findings were:

  • The service provided safe care. Clinical premises where patients were seen were safe and clean. Staff assessed and managed risk well and followed good practice with respect to safeguarding.

  • Staff completed a comprehensive mental health assessment of each patient. They provided a range of treatments that were informed by best-practice guidance and suitable to the needs of the patients.

  • The teams included or had access to the full range of specialists required to meet the needs of the patients. Staff worked well together as a team and with relevant services outside the organisation.

  • Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. The service actively involved patients in care decisions.

  • All patients that we spoke to were extremely positive about the service. Patients described staff as professional and knowledgeable and that they always felt listened to.

  • The service was easy to access. The criteria for referral to the service did not exclude patients who would have benefitted from care.

However:

  • The registered manager did not have sufficient oversight of clinicians’ compliance with the requirements to grant practising privileges.

  • The registered manager had limited oversight of the care and treatment provided by clinicians with practising privileges that did not share patients.

The areas where the provider should make improvements are:

  • The provider should ensure that systems are embedded to provide assurance that clinicians are compliant with the requirements to grant practising privileges.

  • The provider should improve systems for oversight of the performance of clinicians in the service.