Background to this inspection
Updated
26 July 2017
Keats House has been providing community mental health services since 1999. It is a single practitioner service. Dr Pereira is a consultant psychiatrist who sees private patients referred to the service by their GP, by their employer or who are self referring. The practice consists of treating general psychiatric disorders including anxiety and depressive disorders. There are two rooms at the service, a consulting room and an administration office.
Keats House is registered to provide the following regulated activities:
Treatment of disease, disorder and injury
The service has not been previously inspected.
Updated
26 July 2017
We do not rate sole practitioners.
We found the following areas of concern:
- The service did not have an embedded process to assess and record risks when patients were assessed at the service.
- Incidents were not being categorised and robust incident investigations were not taking place.
- There was no evidence that learning had taken place in response to serious incidents.
- The service did not always consult the patient’s GP before prescribing medication.
- The service did not distinguish between serious and less serious incidents in the reporting of incidents onto its risk register.
- Safeguarding concerns and alerts were not being referred to the local authority.
- The service did not keep minutes of the consultant psychiatrist’s supervision.
- The service did not integrate assessments into patient’s care plans where appropriate.
- The service did not monitor the patients who self-discharged from the service without a discharge plan in place.
However:
- The service was delivered in a clean and comfortable environment which was accessible and welcoming.
- The service was well staffed and responded to patient needs in a prompt and flexible manner.
- The staff understood the duty of candour and gave examples of applying this duty.
- The service had a clear care pathway. The service was able to offer patients emergency appointments within a few days. There was no waiting list.
- Patients who used the service provided very positive feedback.