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Inspection carried out on 21 January 2020

During a routine inspection

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 Dr M R Rakus on 21 January 2020. This was the first CQC inspection of this location under the current CQC inspection methodology, although the location had previously been inspected in 2013.

This service 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 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. Dr M R Rakus provides a range of non-surgical cosmetic interventions, which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

Dr Rakus is the registered manager of the service. 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.

Our key findings were:

  • The service provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The service organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the service was led and managed promoted the delivery of high-quality, person-centre care.

The areas where the provider should make improvements are:

  • The service should ensure that all staff have undertaken fire safety and information governance training, and ensure that records of all training completed by staff are kept at the clinic, including those for doctors with practising privileges.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 18 December 2013

During a routine inspection

On the day of our visit we spoke with one person who had used the laser service in the past. They were unable to have further laser treatment on the day of the visit due to a contra-indication with previous medical history. They said they were "very happy with the results" and when the medical history was all clear would be returning for more laser treatment.

We spoke with another person who said that the "staff are fantastic" and "I have been coming here for over four years and will not go anywhere else."

We found that people were given sufficient information about their treatments in order to be able to make an informed decision. We saw from the care records that consent was achieved in 100% of the records that had been reviewed for audit.

There were effective controls in place to ensure laser equipment was safe for use and that protective equipment was available for people and staff to use. We saw that routine testing of all equipment was completed and that the clinic complied with the use of laser regulations.

People's feedback was encouraged through the use of on-line surveys and suggestions to improve the service were acted upon. Staff were regularly informed of any improvements or changes required and the staff we spoke with felt that they were able to contribute to improving the service where possible.

We saw that the records were kept up-to-date and stored securely. The people we spoke with were aware that their records were being kept.

Inspection carried out on 14 November 2012

During a routine inspection

We spoke with people who use the service and looked at recent feedback that people had sent to the provider. Overall, people were very satisfied with the care and treatment they had received. One person described their treatment as �fantastic� and another thanked the service for the �individual care� they received. People felt involved in making decisions about their treatment, they were satisfied with the information they received and their records were comprehensive.

Care was delivered in a way which ensured each person's safety. Staff were trained to deal with emergencies and there was emergency equipment available.

There were effective systems place for preventing infection and people reported that the clinic was always clean and hygienic.

Staff received ongoing professional development and people who use the service were complimentary about their skills and experience. Staff were appropriately supported and appraised.

Information on how to complain was given to everyone using the service and people told us they were able to raise concerns if they needed to.

Reports under our old system of regulation (including those from before CQC was created)