Cheshire Hair Transplant Clinic Limited

We rated the service inadequate because:

• The registered manager did not have good oversight of the safety and quality of the service.
• Some staff did not complete training in key skills including safeguarding.
• The service did not always control infection risk well.
• Staff did not always complete and update risk assessments for each patient, identify and remove risk.
• The service did not always use systems and processes to safely prescribe, administer, record and store medicines.
• The service did not have clear processes to monitor the safety and effectiveness of the service and make improvements.
• The service did not always have up to date and accurate policies to govern the service and guide staff to deliver the service safely and did not ensure staff read them.
• The service did not operate robust recruitment processes for all staff and managers did not always check staff were competent for their roles.
• Staff did not always keep detailed, clear and up to date records and not all staff could access them.

However:

• The service planned care to meet the needs of patients. Patients had appointments at the time they wanted them, and they were able to get advice when they needed it.
• Staff provided emotional support to patients if they needed it.
• Staff treated patients with compassion and kindness.
• The design and layout of the service met relevant guidance.

Following this inspection. we served the provider a Warning Notice under Section 29 of the Health and Social Care Act 2008. The warning notice told the provider they were in breach of Regulations 12 and 17 and gave the provider a timescale to make improvements to achieve compliance. The principles we use when rating providers requires CQC to reflect enforcement action in our ratings. The warning notice identified concerns in the safe, effective and well-led domain. This means that the warning notice we served has limited the rating for safe, effective and well-led to inadequate.