10 Harley Street

Updated 26 August 2022

The service is provided by CD Practice Limited.

CD Practice Limited is registered at:

10 Harley Street

London

There is a website: https://www.christosdimitriou.co.uk

CD Practice Limited provides a consultant-led outpatients service to assess, diagnose and, if necessary, treat adults and children aged sixteen and above for a range of psychiatric conditions such as anxiety, depression, addiction and Attention Deficit Hyperactivity Disorder (ADHD). It meet patients’ needs by providing appropriate prescriptions, psychological therapies or referrals to other professionals.

The age of patients ranged from children aged 16 and above to adults up to the age of 65.

Referrals are received from several sources including GPs, other consultant psychiatrists and psychologists, and patients can self-refer. Patients are responsible for funding their treatment either directly or through health insurance.

At the time of our inspection, the consultant psychiatrist and the practice manager were the only staff employed. The consultant psychiatrist was the nominated individual and the practice manager was the registered manager.

The service is registered to provide treatment of disease, disorder or injury.

The service is open five days a week, Monday – Friday from 09.00am to 6.00pm. Patients are seen face to face and remotely via online appointments and sessions. The provider also holds clinics at locations in Golders Hill Health Centre and The Broadgate Clinic.

How we inspected this service

During the inspection visit to the service, the inspection team:

• checked the safety, maintenance and cleanliness of the premises

• spoke with eight patients who were using the service; our last telephone interview was on 22 July 2022

• reviewed seven feedback forms from patients who were using the service

• spoke with the registered manager and the consultant psychiatrist

• reviewed four patient care and treatment records

• checked how prescription pads were managed and stored

• reviewed information and documents relating to the operation and management of the service

You can find further information about how we carry out our inspections on our website: www.cqc.org.uk/what-we-do/ how-we-do-our-job/what-we-do-inspection.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 26 August 2022

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Outstanding

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at CD Practice Limited on 12 July 2022 as part of our inspection programme. This was the first inspection of this service.

The practice manager 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.

CD Practice Limited provides a consultant-led outpatients service to assess, diagnose and, if necessary, treat adults and children aged sixteen and above for a range of psychiatric conditions

We reviewed collated results from patient feedback forms and spoke with eight patients. All feedback we received from patients was overwhelmingly and consistently positive. Patients said care and support they received had exceeded their expectations and many described the service as ‘outstanding’. All patients commended the person-centred approach of the registered manager and consultant psychiatrist. All patients told us that they were partners in their care.

Our key findings were:

Patients reported that the care provided was outstanding and exceeded their expectations.

The service provided safe care. The service had clear systems to keep people safe and safeguarded from abuse. Staff appropriately assessed and managed risks to patient safety. The service maintained comprehensive patient records and carried out regular controlled drug prescription audits.

Staff developed holistic care and treatment plans informed by a comprehensive assessment in collaboration with patients. Care and treatment were planned and delivered in line with current legislation and best practice guidance produced by the National Institute for Health and Care Excellence (NICE) and suitable to the needs of the patients. The service evaluated and reflected on the quality of care provided to ensure it was delivered to a high standard.

The service had enough staff with the right qualifications, skills, knowledge, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment.

The consultant psychiatrist involved patients in decisions about care and provided written information about medicines and side effects. They advised patients on how to lead healthier lives.

The service was easy to access. Patients were able to access care and treatment from the service within an appropriate timescale for their needs. The service took complaints and concerns seriously and responded to them appropriately to improve the quality of care.

The service was well led, and the governance processes ensured that procedures relating to the work of the service ran smoothly. The provider had a clear vision for improving the service and promoting good patient outcomes.

However, some of the policies we viewed did not have an issue date, so it was not clear when these policies were due for review/renewal.

We saw the following outstanding practice:

The service demonstrated a highly person-centred approach. Consideration of people’s individual and needs, privacy and dignity was embedded into everything the service did. There was a truly holistic approach and care and treatment was tailored to meet the unique needs of each person.

Many of the patients described the service as ‘life changing’ and ‘outstanding’. We heard of examples where the registered manager and consultant had gone above and beyond to provide emotional care and support, this included maintaining regular contact outside of working hours and at the weekend. Patients described the service as very responsive.

The areas where the provider should make improvements are:

• The provider should ensure that all policies have an issue date and are reviewed within an appropriate timescale.

Jemima Burnage

Interim Director of Mental Health