Archived: Orchard Cosmetic

Updated 13 January 2023

Orchard Cosmetic is the sole location operated by the provider Orchard Cosmetic Limited. It is located at:

13, Lugley Street

Newport

Isle of Wight

PO30 5HD

www.orchardcosmetic.co.uk

Orchard Cosmetic is registered with the CQC to provide 2 regulated activities: Surgical procedures and Treatment of disease, disorder or injury. It was first registered in April 2021 and is registered to treat adults only. The services that are within scope of registration are mole removal by minor surgery and Botulinum toxin (Botox) treatment for hyperhidrosis. The service also provides a range of cosmetic treatments that are not within scope of CQC registration, such as Botox and fillers for cosmetic reasons and laser hair removal.

Orchard Cosmetic is open Tuesday to Friday from 9am to 5pm. It is closed on Mondays and at weekends. Patients can book appointments by phone or directly through the service website.

The clinic is on the first floor and comprises two treatment rooms, a waiting room, reception area and toilet facilities. There is no lift.

The registered manager undertakes minor surgery and the clinic employs an advanced nurse practitioner who carries out hyperhidrosis treatments. Hyperhidrosis is excessive sweating that is not always related to heat or exercise. In addition, the clinic employs a beauty therapist and a receptionist.

How we inspected this service

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently. This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

We carried out this inspection on 1 December 2022. Before visiting the location, we looked at a range of information that we hold about the service and information submitted by the provider. During our visit, we interviewed staff, reviewed documents and clinical records and made observations relating to the service and the location it was delivered from.

Due to the current pandemic, we were unable to obtain comments from patients via our normal process where we ask the provider to place comment cards in the service location. However, we were shown examples of patient feedback which the provider monitored on an ongoing basis. We did not speak to patients on the day of the site visit. We phoned 3 patients who had received either mole removal or hyperhidrosis treatment at the clinic.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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 13 January 2023

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Orchard Cosmetic on 1 December 2022. The service was registered with the Care Quality Commission (CQC) in April 2021. We carried out this first rated inspection as part of our regulatory functions. The inspection was undertaken to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Orchard Cosmetic is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Orchard Cosmetic is registered with the CQC to provide 2 regulated activities: Surgical procedures and Treatment of disease, disorder or injury. It is registered to treat adults only. The services that are within scope of registration are mole removal by minor surgery and Botulinum toxin (Botox) treatment for hyperhidrosis. The service provides a range of cosmetic treatments that are not within scope of registration, such as Botox and fillers for cosmetic reasons and laser hair removal. We did not inspect or report on services outside scope of registration.

The clinic owner and nominated individual is 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 3 patients who provided feedback about the service. They commented positively on the professionalism and care provided by the service.

Our key findings were:

• The service had safety systems and processes in place to keep people safe. There were systems to identify, monitor and manage risks.
• The provider had audited patient records and treatment outcomes to identify areas for improvement.
• Staff maintained their skills and competencies through training and professional development.
• A patient questionnaire showed people found the staff to be caring and professional. This was reflected in the feedback we obtained from a limited sample of 3 patients.
• The clinic website was informative and included details about the treatments offered, prices and appointment availability.
• There was a clear strategy and vision for the service.
• The leadership and governance arrangements promoted good quality care.

The areas where the provider should make improvements are:

• Implement guidance from the Legionella risk assessment once completed and shared by the landlord.
• Develop policy and guidance on storage of patient records should the business cease trading.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services