• Hospital
  • Independent hospital

Archived: The D'Souza Clinic

Overall: Good read more about inspection ratings

55 Harley Street, London, W1G 8QR (020) 7770 6538

Provided and run by:
CMDSOUZA LTD

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

12 October

During a routine inspection

This was the first time we rated this service. We rated it as good because:

  • The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risk to patients, acted on them and kept good care records. They managed medicines well. The service had policies in place to manage incidents well and had the scope to practice shared learning.
  • Staff provided care and treatment based on national guidance and evidence-based practice. Managers monitored the effectiveness of the service and recorded good outcomes for patients. Managers ensured staff were competent in their roles. Patients were given pain relief when required. Staff worked well together for the benefit of patients and supported them to make decisions about their care.
  • Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs and helped them understand their conditions. They provided emotional support to patients, families and carers.
  • The service planned care to take account of patient’s individual needs and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait long for treatment.
  • Leaders ran services well using reliable information systems. Staff understood the service’s vision and values and demonstrated this in their work. Staff felt respected, supported and valued. They were focused on the needs of the patient receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and all staff were committed to continual improvement.

28 September 2021

During an inspection looking at part of the service

This was a focused follow up inspection to determine whether concerns from our previous inspection on 30 April to 1 May 2019 had been resolved. We did not rate this service at this inspection. The previous overall rating remains.

Our rating of this location stayed the same.

  • The provider has complied with the Requirement Notice issued in June 2019. The provider had made improvements to ensure that all relevant staff completed mandatory training as per policy.
  • The provider had made improvements to ensure that there was a formal induction process for all new staff.
  • The provider had made improvements to ensure that staff were aware of how to report an incident.
  • The provider had made improvements to ensure that all relevant staff were aware of the clinics policies.
  • The provider had made improvements to ensure that correct Disclosure and Barring Service (DBS) checks were in place for all staff.

However:

  • We found although the provider had a level 3 qualified safeguarding lead, this was not in accordance with intercollegiate guidance which requires providers to have a level 4 qualified safeguarding named professional. Following our inspection the provider informed us that they had sourced a level 4 named professional.