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Skin Doctor York Also known as OK Medical Limited

Inspection Summary


Overall summary & rating

Updated 7 December 2017

We carried out an announced comprehensive inspection on 8 November 2017 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

Inspection areas

Safe

Updated 7 December 2017

We found that this service was providing safe care in accordance with the relevant regulations.

  • Staff had received training in safeguarding and knew the signs of abuse and to whom to report them.

  • There were systems in place for identifying, investigating and learning from incidents relating to the safety of patients and staff members. The staffing levels were appropriate for the provision of care and treatment.

  • Risk management processes were in place to manage and prevent harm. We found the equipment and premises were well maintained with a planned programme of maintenance.

We found areas where improvements should be made relating to the safe provision of treatment.

  • This was because the provider did not have a risk assessment in place with regard to how they would access a defibrillator or oxygen in the event of a medical emergency.
  • The refrigerator used for the storage of botulinum toxin was not a specialised medicines’ refrigerator. The refrigerator was lockable and staff were checking the refrigerator temperature twice daily but had no way of knowing whether the refrigerator temperature had not gone out of the range required to store the botulinum toxin at a safe temperature at other times. The practice stated they would purchase a specialised medicines' refrigerator following the inspection and we saw evidence to confirm this.
  • There was not a system in place for the checking of expired emergency medicines. The practice stated they would implement this after the inspection.

Effective

Updated 7 December 2017

We found that this service was providing effective care in accordance with the relevant regulations.

  • The service provided evidence based care which was focussed on the needs of the patients. Patients received a comprehensive assessment of their health needs which included their medical history.

  • Staff who were registered with a professional body such as the General Medical Council (GMC) had opportunities for continuing professional development (CPD) and were meeting the requirements of their professional registration.

  • Staff were knowledgeable about how to ensure patients had sufficient information and the mental capacity to give informed consent. Staff we spoke with were aware of the impact of their patients’ and family’s general health and wellbeing and were proactive in providing information and support.

Caring

Updated 7 December 2017

We found that this service was providing caring services in accordance with the relevant regulations.

  • Feedback from patients through completed comment cards was positive about their experiences at the service. Patients were happy with the care they received and felt fully involved in making decisions about their treatment. The practice provided individuals with information to enable them to make informed choices about treatment. Patients were given a copy of their treatment plan and associated costs; this gave them clear information about the different elements of their treatment and the costs relating to them.

  • Patients also commented that the staff were caring and committed to their work and displayed empathy, friendliness and professionalism towards them.

Responsive

Updated 7 December 2017

We found that this service was providing responsive care in accordance with the relevant regulations.

  • The service offered flexible appointments to meet the needs of their patients.

  • The service had made reasonable adjustments to accommodate patients with a disability or impaired mobility.

  • Lead roles supported the practice to identify and manage risks and helped ensure information was shared with all team members. There was a comprehensive range of policies and procedures in use at the practice which were easily accessible to staff.

  • The service had a system to monitor and continually improve the quality of the service through a programme of clinical and non-clinical audits. Where areas for improvement had been identified action had been taken and there was evidence of repeat audits that monitored improvements had been maintained.

  • The complaint procedure was readily available for patients to read in the reception area and on the service’s website. There was a complaint policy which provided staff with information about handling formal and informal complaints from patients. Information for patients about how to make a complaint was available in the service waiting room and on the service website.

Well-led

Updated 7 December 2017

We found that this service was providing well-led care in accordance with the relevant regulations.

  • There was a management structure in place and staff understood their responsibilities. The registered manager was always approachable and the culture within the service was open and transparent.

  • The manager and provider ensured policies and procedures were in place to support the safe running of the service.

  • Regular staff meetings took place and these were recorded. Staff told us they felt supported and could raise any concerns with the provider or the manager.

  • We saw that the service also regularly completed patient satisfaction surveys to improve the quality of the service.

  • There were effective clinical governance and risk management structures in place. There was a pro-active approach to identify safety issues and to make improvements in procedures.