134 Harley Street is operated by Harley Street Fertility Clinic. The service has no overnight beds. Facilities include one operating theatre, outpatient and diagnostic facilities.

The service provides surgical procedures

We inspected surgery.

We inspected this service using our comprehensive inspection methodology.

We carried out an announced inspection on 19 December 2016.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Services we rate

We rated this service as good overall.

• There were good systems and processes in place to protect patients from avoidable harm.

• Reporting of incidents was encouraged and the process was understood by staff.

• The environment was visibly clean and well maintained and there were measures to prevent and control the spread of infection.

• There were adequate numbers of suitably qualified, skilled and experienced staff to meet patients’ needs, and staff had access to training and development, which ensured they were competent to do their jobs.

• There were arrangements to ensure patients had access to suitable refreshments, including drinks.

• Treatment and care was delivered in line with national guidance and the outcomes for patients were good.

• Patient consent for treatment and care met legal requirements and national guidance.

• Patients could access care in a timely way, and had choices regarding their treatment day.

• Staff ensured patients privacy and the dignity of patients was upheld.

• The leadership team were visible and appropriate governance arrangements meant the service continually reviewed the quality of services provided.

We found areas of practice that require improvement in surgery:

• The service should review its process for managing the identification of out of date drugs.

• The service should also review its surgery safety checklist policy, so that it reflects best practice guidance, including the World Health Organisation surgical checklist.

• Safeguarding policy was not in line with the intercollegiate guidance.

Prof Ted Baker

Deputy Chief Inspector of Hospitals