The Care Quality Commission
  • Doctor
  • Independent doctor

Archived: London Hormone Clinic

Overall: Good read more about inspection ratings

106 Harley Street, London, W1G 7JE 07903 420500

Provided and run by:
London Hormone Clinic Limited

Important: This service was previously registered at a different address - see old profile
Important: This service is now registered at a different address - see new profile

All Inspections

25 May 2022

During a routine inspection

This service is rated as Good overall. (Previous inspection: 27 September 2018 – unrated).

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 comprehensive inspection at London Hormone Clinic as part of our inspection programme.

London Hormone Clinic is an independent clinic in central London, which provides a range of bespoke healthcare services to adults and specialises in individualised bioidentical hormone replacement therapy and functional medicine for women.

The senior doctor is the registered manager. 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.

For reasons of safety and infection prevention and control related to the COVID-19 pandemic, we did not commission patient feedback with CQC comment cards. We did not speak to any patients during this inspection.

Our key findings were:

  • The service specialised in individualised bioidentical hormone replacement therapy and functional medicine for women. Patients were treated with unlicensed compounded medicines and systems were in place to ensure this was carried out safely.
  • There was evidence of quality improvement activity including clinical audits.
  • Consultations were comprehensive and undertaken in a professional manner.
  • Consent procedures were in place and these were in line with legal requirements.
  • There was an infection prevention and control policy and procedures were in place to reduce the risk and spread of infection.
  • Appointments were available on a pre-bookable basis. The service provided consultations face to face, via telephone and via video calls.
  • The service proactively gathered feedback from the patients.
  • Information about services and how to complain was available.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvements are:

  • Review legionella risk assessment.
  • Develop a documented fire evacuation plan to identify how staff could support patients with mobility problems to vacate the premises.
  • Review contents of the consent form and consider including details about the risks associated with the use of an unlicensed medicine.
  • Consider how to improve access to patients with hearing difficulties.
  • Follow the complaint policy and include information on the complainant’s right to escalate the complaint if dissatisfied with the response.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care

27 September 2018

During a routine inspection

We carried out an announced comprehensive inspection on 27 September 2018 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.

London Hormone Clinic provides treatment for a wide range of hormonal conditions for women.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines.

One of the partners is the registered manager. 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.

Twenty seven patients provided feedback about the service. All the comments we received were positive about the service, for example describing the doctors as good listeners and sincere.

Our key findings were:

  • The clinicians were aware of current evidence based guidance and had the skills and knowledge to deliver effective care and treatment.
  • The provider had systems in place to protect people from avoidable harm and abuse.
  • The provider had effective systems in place to record, monitor, analyse and share learning from significant events.
  • The service had arrangements in place to respond to medical emergencies.
  • There was a clear vision to provide a personalised, high quality service

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

  • Develop protocols for verifying the identity of all patients.
  • Review systems and processes for quality improvement cycles such as completed clinical audits.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice