Dr Esra Caglar's Clinic

Updated 8 June 2022

The service is provided by Esra Caglar Ltd. The service is run by an independent consultant child and adolescent psychiatrist who provides private services in London. The service is registered to provide treatment of disease, disorder or injury. The service is open Monday to Friday and runs flexibly to support evening and after school sessions. The provider’s core hours are from 9 till 2.30pm. The consultant offers both face to face and remote online appointments and sessions.

At the time of our inspection, the consultant psychiatrist was the only employee. They were the registered manager and registered provider. Throughout the report, we will refer to the consultant psychiatrist as ‘the consultant’. The consultant was in the process of recruiting an administrative member of staff.

The consultant provides treatments and assessments to children, adolescents and adults up to the age of 25 with a wide range of emotional, behavioural and neurodevelopment difficulties. The consultant also provides assessment for Autism Spectrum Disorders (ASD) and Attention Deficit Hyperactivity Disorder (ADHD).

Referrals are received from several sources including GPs, other consultant psychiatrists and psychologists. Young people and their families/parents can also self-refer. Young people or their parents/families are responsible for funding their treatment directly or through health insurance.

The link to the provider’s website can be found here: https://www.esracaglar.com/

How we inspected this service

During our inspection, the inspection team:

• Checked the safety, maintenance and cleanliness of the premises
• Spoke with six people about their care, including young people and parents/families, via telephone
• Reviewed four care and treatment records
• Checked how prescription pads were managed and stored
• Reviewed the service policies and procedures
• Reviewed information and other documents relating to the running of the service.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 8 June 2022

We carried out an announced comprehensive inspection at Dr Esra Caglar’s Clinic on 19 April 2022 as part of our inspection programme. This was the first inspection of the service. The service was registered by CQC in December 2019.

Dr Esra Caglar’s Clinic provides a consultant led outpatient service to assess and treat children, adolescents and adults with mental health needs. This includes psychiatric reviews and assessments, psychological therapies for individuals and/or families, prescribed medication or referrals to other professionals. The age of patients ranged between young children and adults up to the age of 25.

The consultant psychiatrist is the registered provider and the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We spoke with six people who provided feedback about the service. This included a range of young people and their parents/families. All feedback we received was positive. They described the service as caring, respectful and said staff were professional. People we spoke to said they were happy with the service and the care provided.

Our key findings were:

• The service provided safe care. The consultant had training in key skills, understood how to protect young people from abuse, and managed safety well. The consultant assessed risks to young people, acted on them and kept good care records.
• The consultant delivered a holistic, recovery-oriented service. The service provided a blended approach of psychological and pharmacological treatment options. These options were based on best-practice guidance and met patients’ needs. The consultant evaluated and reflected on the quality of care provided to ensure it was delivered to a high standard.
• The consultant involved young people and/or parents/carers in decisions about care, provided written information about medicines and side effects and advised young people on how to lead healthier lives.
• Staff treated young people with compassion and kindness and respected their privacy and dignity. Young people and parents/carers told us the consultant was respectful and spoke highly about the care they received.
• The number of young people on the consultant psychiatrist’s caseload was well managed. The consultant did not keep a waiting list.
• The consultant led the service well. There were effective governance processes which ensured that that procedures relating to the work of the service ran smoothly. The consultant was focused on the needs of young people receiving care and was committed to the continuous improvement of services.

The areas where the provider should make improvements are:

• The consultant should ensure young people are always supervised in waiting areas when not accompanied by their parents/carers.

Jermima Burnage

Interim Deputy Chief Inspector Hospitals (Mental Health)