• Doctor
  • Independent doctor

Laser and Light Ltd Also known as The Laser and Light Medical Skin Clinic

Overall: Good read more about inspection ratings

1 Church Gate Mews, Loughborough, Leicestershire, LE11 1TZ (01509) 266882

Provided and run by:
Laser and Light Ltd

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Background to this inspection

Updated 25 August 2022

Laser and Light Ltd is located at 1 Church Gate Mews, Loughborough, Leicestershire, LE11 1TZ and is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures, surgical procedures and treatment of disease, disorder or injury.

Laser and Light Ltd is a service which provides a range of cosmetic treatments which are mostly not covered by CQC registration. The CQC regulated activities only incorporate private treatment for patients in relation to skin conditions such as acne, mole or skin tag removal, and injectable proteins (Botulinum toxin) for the treatment of migraines or hyperhidrosis (excessive sweating). No services covered by CQC regulated activities are provided for any individual under 18 years of age.

There is considerably higher activity levels for the non-regulated activities undertaken by the service. For example, in the last 12 months during which the service was in operation, they estimated they had only seen approximately 20-30 patients who were treated as part of a CQC regulated activity.

The service is delivered from a small ground floor property consisting of two consulting/treatment rooms, a reception, toilet and utility area. The property is accessible to wheelchair users, although there is no fully accessible toilet facility. There is no parking due the location in a busy shopping precinct, but there is parking nearby in town centre car parks.

The service is led by a doctor (who is also a laser eye surgeon, specialised in ophthalmology and aesthetic medicine), supported by a nurse, two laser therapists and a beauty therapist. The therapists also provided reception cover. There are two administrators based off site in office accommodation close to the service.

There is a named Registered Manager as part of CQC requirements. The Registered Manager is a qualified nurse who provides some holiday cover for the service, but also meets monthly with the doctor to review any issues relating to the service including compliance with CQC regulations. The Registered Manager is not based on site but can be accessed by the team if required by telephone or email.

Consultations are by prior arrangement via telephone or online via email. The service is open from 9am to 5.30pm on Mondays, Tuesdays, Thursdays and Fridays and 9am to 3pm on Wednesdays and Saturdays.

The service for regulated activities had re-opened in June 2022 following several months of dormancy during the pandemic. This aspect of the service had been dormant from 8 July 2021 until 14 June 2022. This meant that the CQC were delayed in returning to review the special measures status of the service as this would normally take place within six months of the previous report’s publication.

How we inspected this service

We inspected Laser and Light Ltd on 22 July 2022 but carried out some interviews remotely earlier in the same week. Before visiting we reviewed the information we hold about the service, and also asked the service to submit a range of supporting evidence electronically. This included information about policies and risk assessments, staff members and audits. Laser and Light Ltd also provided additional information on the site visit and via email following the inspection.

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.

Overall inspection

Good

Updated 25 August 2022

This service is rated as Good overall.

Laser and Light Ltd was previously inspected during April and May 2021. At the inspection in 2021, the key questions of safe, effective and well-led were rated as inadequate, whilst the caring and responsive key questions were rated as good. Therefore, it received an overall rating of inadequate and the service was placed into special measures.

We carried out an announced comprehensive inspection at Laser and Light Ltd on 22 July 2022 to ensure improvements had been made after the previous inspection, and to review the special measures status of this service.

The key questions following the inspection in July 2022 are now rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

This service is registered with Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of a limited number of services it provides. Laser and Light Ltd provides treatment of acne to patients, as well as mole and skin tag removal (for cosmetic purposes), and injectable botulinum toxin for the treatment of migraines and hyperhidrosis. These are part of regulated activities and were therefore included within our inspection.

The majority of services delivered by Laser and Light Ltd such as laser therapies and other non-surgical cosmetic procedures (for example, dermal fillers) are not within the CQC’s scope of registration. Therefore, we did not inspect or report on these services. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Our key findings were:

  • The service did not always provide care in a way that kept patients safe and protected them from avoidable harm.
  • Service-users received effective care and treatment that met their needs.
  • Staff dealt with service-users with kindness and respect and involved them in decisions about their care.
  • The service was responsive to the needs of service-users.
  • The way the service was led and managed promoted the delivery of high-quality, person-centre care.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Ensure care and treatment is provided in a safe way to patients.

In addition, the provider should:

  • Develop its audit programme to incorporate minor surgery procedures undertaken.
  • Improve its mechanisms for service-user feedback to reflect key aspects of the care provided as part of regulated activities, and the outcomes achieved for the service-user.

I am taking this service out of special measures. This recognises the significant improvements that have been made to the quality of care provided by this service.

Sean O Kelly
Chief Inspector of Primary Medical Services and Integrated Care