24 April 2023
During an inspection looking at part of the service
The service Epilium & Skin provides surgical procedures to adults only. We inspected the service using our focused inspection methodology.
This inspection was a focused follow up inspection to determine if all areas of concern raised at our previous inspections on 20 December 2022 and 28 February 2023, had been resolved and the risk of harm to service users had been removed. We did not rate the service at this inspection as we were following up on concerns raised at our previous inspections.
We found:
- The service did not follow required legislation in relation to recruitment or registration of staff providing regulated activities.
- There were no medicines management systems in place. There was no stock control system in place. There were no decontamination facilities or services in place.
- The service did not monitor the effectiveness of care and there was no system to ensure the competence of staff.
- Governance systems were not fit for purpose which meant the provider did not have a good understanding of the service or their responsibilities in relation to risk and leadership.
Following our comprehensive inspection on 20 December 2022, the service was rated inadequate. We suspended the registration of the provider and placed the service into special measures.
Following the focused follow up inspection on 28 February 2023, the suspension of the regulated activity was extended for a further eight weeks because the service had not made all the required improvements.
As a result of the focused follow up inspection undertaken on 24 April 2023, the suspension of the regulated activity was extended for a further sixteen weeks because the service had not made all the required improvements.
Services placed in special measures will continue to be monitored. If insufficient improvements have been made such that there remains a rating of inadequate overall or for any key question or core service, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling the registration or to varying the terms of their registration within six months if they do not improve. Where necessary another inspection will be conducted within a further six months, and if there is not enough improvement, we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.