30 June 2022
During a routine inspection
This service is rated as Requires improvement overall.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Requires improvement
Are services caring? – Good
Are services responsive – Good
Are services well-led - Requires improvement
We carried out an announced comprehensive inspection of Dr H W Berry on 30 June 2022 as part of our inspection programme.
Dr H W Berry is a specialist in rheumatology. The service provides a diagnostic and continuing care programme, and offers mobile and walk-in services for adult only patients (patients over the age of 18). The service is based in Harley Street, London.
Our key findings were:
- We found that some staff had not completed some training, including the appropriate level of safeguarding training and chaperone training. The system for oversight of staff training was not sufficient.
- We found that the practice had a governance framework, however, it was not always effectively managing risks. This included the risks associated with management of medical emergencies on the premises.
- We found that the practice did not have a comprehensive patient identification procedure.
- We did not see evidence of any clinical audits that had been undertaken which identified areas for improvement or evidence of other quality improvement activity.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The service actively sought and acted on feedback from patients to improve services.
The areas where the provider must make improvements as they are in breach of regulations are:
- Ensure care and treatment is provided in a safe way to patients.
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
In addition to the above, the practice should:
- Improve the process for patient identification.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services