Archived: Dr Frances Prenna Jones LLP

Updated 31 July 2018

Dr Frances Prenna Jones is a private aesthetic cosmetic clinic providing anti-ageing treatments to adults. Not all of these treatments, such as skin peels and Botox, are required to be regulated by the Care Quality Commission (CQC). However, the service also carries out the removal of skin tags and prescribes medicines.

The service offers appointments Monday to Friday 9am – 7pm.

The clinic only treats adults and appointments are booked in advance by telephone, email or in person. They see approximately 60 patients per week.

Patient facilities are provided on the ground and first floor. There is no lift and no entrance ramp facilitating physical access. However this is made clear both on the website and when patients make appointments. The staff team include a lead doctor, two therapists and three administrative staff.

We carried out this inspection on 15 May 2018. The inspection team comprised of a CQC inspector, GP specialist advisor and a second inspector.

Before visiting, we reviewed a range of information we hold about the service and asked the clinic to send us some information about the service which we also reviewed.

During our visit we:

• Spoke with the doctor and the practice manager.

• Reviewed comment cards where patients had shared their views and experiences of the service in the days running up to the inspection.

• Reviewed documentary evidence relating to the service and inspected the facilities, equipment and security arrangements.

• We reviewed a number of patient records alongside the doctor. We needed to do this to understand how the service assessed and documented patients’ needs, consent and any treatment required.

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 formed the framework for the areas we looked at during the inspection.

Updated 31 July 2018

We carried out an announced comprehensive inspection on 24 May 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The provider Dr Frances Prenna Jones Limited Liability Partnership has one location registered as Dr Frances Prenna Jones LLP located in Mayfair in London. It is a private aesthetic cosmetic clinic providing mainly anti-ageing treatments to adults. such as skin peels and Botox which are not required to be regulated by the Care Quality Commission (CQC).

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines. Our inspection focused solely on the procedures of mole removal, skin tags and prescribing. However, the most recent skin tag procedure taken place at the clinic was in November 2016 and they issue approximately one prescription a week.

The doctor 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.

Twenty-one patients provided feedback about the service. Most of the comments we received were positive about the service, for example describing the doctor as caring and professional.

Our key findings were:

• The provider had some systems in place to protect people from avoidable harm and abuse.

• The provider had systems in place to record, analyse or share learning from significant events.

• The service did not have appropriate arrangements in place to respond to medical emergencies.

• There were arrangements in place for the management of medicines.

• There was a vision to provide a personalised, quality service.

• The patient feedback we received in the course of the inspection indicated that patients were mostly satisfied with the service they received.

• Information about how to complain was available. The provider had not received any complaints about the service in the last year.

The areas where the provider should make improvements are:

• Review systems and processes for quality improvement cycles such as completed clinical audits.