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CQC warns The Pemberdeen Laser Cosmetic Surgery Clinic Limited that it is failing to protect the safety and welfare of people

17 January 2013
  • Media,
  • Hospitals

17 January 2013

Urgent improvements required at The Belvedere Private Hospital, Abbey Wood, south east London.

The Care Quality Commission (CQC) has issued two formal warnings to The Pemberdeen Laser Cosmetic Surgery Clinic Limited that it must make urgent improvements at a private hospital in Abbey Wood, south east London.

Two warning notices have been issued following an unannounced inspection of The Belvedere Private Hospital, in Knee Hill, in November. The warnings follow two previous warning notices issued in September this year for breaches in regulations on care and welfare of people and medicines management. The hospital had not complied with the previous warning notices at the time of the November inspection.

At the November inspection, CQC found that:

Record keeping was not always up to an appropriate standard. This placed people using the hospital at risk of harm. In one case, a drug allergy had not been recorded on a prescription chart putting that patient at risk. Patient records were not always stored securely. Staff records did not always accurately reflect movement in and out of the hospital and rotas were not always correct.

Effective recruitment procedures were not always being operated by the provider. Appropriate checks did not always take place before staff started work at the hospital. This included a CRB check in one case, and a risk assessment of a person with previous criminal convictions in another.

Matthew Trainer, Deputy Director of CQC in London, said:

“We check the national standards of quality and safety in care that the law says everyone should be able to expect. These standards exist to protect people who cannot always speak up for themselves from being put at risk of harm. Providers have a duty to be compliant.

“Given the serious issues we identified earlier this year, it is very worrying that we have had to warn this provider again that the treatment and care delivered at this hospital falls far short of what people using it should be able to expect. The failings at this hospital are putting people at serious risk of harm.

“Our inspectors will return in the near future to carry out another unannounced inspection. CQC is currently considering further use of its legal powers to protect the people using services at the hospital.”


For further information please contact the CQC press office on 0207 448 9239 or out of hours on 07917 232143.

Notes to editors

The warning notices find that The Pemberdeen Laser Cosmetic Surgery Clinic Limited is in breach of:

  • Regulation 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 21) Records
  • Regulation 21 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 12) Requirements relating to workers

If the required improvements are not made, CQC has a range of enforcement powers which include restricting the services that a provider can offer, or, in the most serious cases, suspending or cancelling a service. CQC can also issue financial penalty notices and cautions or prosecute the provider for failing to meet essential standards.  Any regulatory decision that CQC takes is open to challenge by a registered person through avariety of internal and external appeal processes.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.