Regency Clinic - City of London

⚠ 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.

⚠ 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.

⚠ 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 …

⚠ 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.

⚠ 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.