The Care Quality Commission
  • Doctor
  • Independent doctor

Adrian Lower & Associates Ltd

Overall: Good read more about inspection ratings

9 Upper Wimpole Street, London, W1G 6LJ (020) 7486 2440

Provided and run by:
Adrian Lower and Associates Ltd

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Adrian Lower & Associates Ltd 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 Adrian Lower & Associates Ltd, you can give feedback on this service.

25 July 2022

During a routine inspection

This service is rated as Good overall.

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

Adrian Lower and Associates Ltd. provides gynaecological consultations, examinations and treatments to private patients and is located at 9 Upper Wimpole Street, London, W1G 6LJ.

The service has a 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.

We carried out an announced comprehensive inspection at Adrian Lower and Associates Ltd on 25 July 2022 as part of our inspection programme.

Our key findings were:

  • Leadership arrangements promoted the delivery of high-quality person-centred care and we also saw evidence of how this was supported by new, evidence-based techniques and technologies.
  • The provider assessed needs and delivered care in line with current evidence-based guidance and we also saw evidence of safe and innovative use of pioneering approaches to gynaecological treatments.
  • There were clearly defined and embedded systems and processes to keep patients safe and safeguarded from abuse.
  • The service was tailored to meet patients’ needs and delivered in a way to ensure flexibility, choice and continuity of care.
  • Although emergency oxygen, defibrillator and a range of emergency medicines were available on site, we noted the absence of three emergency medicines reasonably expected to be held by a gynaecological service. When this was highlighted, immediate steps were taken to stock these medicines.
  • There were effective processes in place to identify and address risks; and practice management arrangements supported the delivery of high-quality person-centred care.

The areas where the provider should make improvements are:

  • Take action to review emergency medicines protocols and ensure that medicines held are appropriate to the service.
  • Take action to introduce a written protocol to confirm that, in cases of suspected cancer, patients who are advised to request an urgent referral via their NHS GP have done so.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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