Regency Clinic - City of London

Independent Healthcare Org · London

Overall Rating
Inadequate Last inspected 29 November 2022
Domain Ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Not Yet Rated
Responsive
Requires Improvement
Well-led
Inadequate

View Full CQC Report

5 must-do actions
3 should-do actions

Must-Do Actions (5)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Well-led
The service must embed and strengthen governance processes in order to have better oversight and assurance of the service.
Regulation 17 (Good governance)
Although the service has made some improvements in their governance processes since the last inspection, further improvement was still required to ensure there was effective oversight and assurance for these processes.
Must Do
Safe
The service must have a clinician who has completed advanced life support (ALS) training on sight during opening hours.
Regulation 12 (Safe care and treatment)
The lead consultant attended an Advanced Life Support Course in March 2022 and successfully completed the associated resuscitation skills, high-quality CPR and defibrillation assessments. However, the lead consultant did not pass the CAS Test assessment and did not achieve the required standard to pass the course.
Must Do
Safe
The service must ensure the resuscitation trolley is locked appropriately and regularly checked.
Regulation 12 (Safe care and treatment)
We found the resuscitation trolley was inappropriately locked. A quick release tamper proof tag was not in place. The resuscitation trolley had a padlock in place that required three numbers to open. There was no system to ensure that all staff knew the code. This meant service users may be …
Must Do
Well-led
The service must ensure pain assessments are carried out using recognised pain tools.
Regulation 17 (Good governance)
Although staff told us they assessed patients’ pain levels, we did not see any evidence of pain assessments using recognised pain tools in patient records or in the service.
Must Do
Well-led
The service must monitor performance using appropriate data in order to make improvements for service users.
Regulation 17 (Good governance)
Leaders did not use systems to manage performance effectively. They did not have an adequate process in place to identify risks and issues or identify actions to reduce their impact.

Should-Do Actions (3)

Recommended improvements to enhance service quality.

Should Do
Safe
The service should ensure that they have the right mechanisms to ensure appropriate management of medicines.
Regulation 12 (Safe care and treatment)
Should Do
Safe
The service should have a process to record when equipment has been cleaned.
Regulation 12 (Safe care and treatment)
Should Do
Safe
The service should have a patient eligibility criteria for the treatments offered.
Regulation 12 (Safe care and treatment)

Previous Inspection (18 August 2022)

Rating: Inadequate Type: Inspection report Actions: None
Location Details
CQC ID: 1-1067605740
Local Authority: Hackney
Region: London
Inspection Report
Type: Focused inspection
Date: 29 November 2022
Rating: Inadequate
Actions: 5 must-do , 3 should-do
AI-extracted 17 Feb 2026