We carried out an announced comprehensive inspection on 24 July 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.

90 Sloane Street Limited is an independent health service based in Chelsea, where examples of services carried out are cardiology, oncology, dermatology, physiotherapy and gynaecology.

Our key findings were:

• Systems were in place to keep patients safe and safeguarded from abuse.
• There were systems in place for clinical staff to be kept up to date with evidence based guidelines and practices.
• Ten percent of cardiology procedures such as ECGs and stress Echoes’ were independently audited.
• Medicines were managed and monitored a way that kept patients safe.
• There was a comprehensive programme of quality improvement including clinical audits.
• There were systems to update external bodies such as GPs and consultants of care and treatment being provided.
• All members of staff were up-to-date with training relevant to their role.
• There were comprehensive risk assessments to mitigate current and future risks.
• Policies and procedures to govern activity were in place and reviewed annually.
• Emergency equipment and procedures kept patients and staff safe.
• Systems were in place to protect personal information of patients.
• There was no system for checking parental responsibility for adults attending with a child.

There was one area where the provider could make improvements and should:

• Review the system for establishing parental responsibility of adults attending the service with children, such as checking identity.