Rejuvenate Aesthetics Clinic Ltd

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective - This means we looked for evidence that care, treatment and support achieved good outcomes and promoted a good quality of life, based on the best available evidence.

At our last assessment, we rated this key question Requires improvement. At this assessment, the rating has changed to Good. The service is no longer in breach of the legal regulations. The service demonstrated improvements to ensure relevant information was shared with healthcare providers, including person’s own NHS GP, and ensured clinical records were sufficiently detailed to inform future care planning.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People were supported with their preferences for weight loss treatment and given advice on the most safe and effective options available. Records we reviewed highlighted target goal weights and holistic care planning such as advice on nutrition and wellbeing. The service had referral pathways to local nutritionists, personal trainers and a behavioural therapist.

During our review of clinical records, we noted staff checked people’s health, care, and wellbeing needs during health reviews. Clinical care plan templates when conducting care reviews were used to support the assessment of health and wellbeing to document and inform treatment options and decisions. The service considered the person’s medical history when planning care and treatment.

The service had met the accessible information standard to ensure all people, including those with communication needs could receive effective care and treatment. The service was able to demonstrate reasonable adjustments under the Equality Act 2010. The premises was accessible for mobility aid users. However, the service referred wheelchair users to other suitable local clinics depending on the treatment or service required. Guidance on accessibility arrangements had been displayed on the service’s website. The service had a portable hearing loop in place for people with hearing impairments.

The service planned and delivered care and treatment with the individual, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

We reviewed a sample of records which showed people’s care and treatment was delivered effectively in line with evidence-based guidelines.

Leaders demonstrated how the service carried out regular audits of records and treatment outcomes to ensure clinical decisions were reflective of evidence-based practice and required standards. Staff told us they were supported with their professional development, such as education sessions to keep up to date with national guidelines and best practice.

The service worked well across teams to support people, particularly when they moved between different services. Staff had access to the information they needed to appropriately assess, plan, and deliver care, treatment, and support.

There were processes to monitor and manage care when patients were moved between services such as after referrals to their NHS GP or following secondary care.

The service held ‘daily huddles’ to review changes to treatment guidelines, learning from incidents, feedback or concerns and lone working arrangements, which involved all staff.

The service had a subject access request process to ensure information was processed appropriately. Information was stored securely in line with digital security standards with relevant information made available for people who used the service to access in line with privacy, consent notices and general data protection regulations. Data was secured in line with data retention schedules and processes were in place to ensure information would be redacted for children or for vulnerable adults when shared.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

From the records we reviewed during the inspection, we noted the service empowered and supported people to manage their own health, care and wellbeing needs by staff who understood their needs and preferences. For example, people with weight loss treatments were provided with information and guidance about their treatment plan and were encouraged to carry out additional lifestyle advice. We noted within clinical records, when a person met their target weight loss goal, the service tapered weight loss treatment dosages and adapted care plans for weight maintenance instead. Where needed, the service referred people to exercise and nutrition regimes. People were provided with comprehensive information sheets which documented potential risks and complications, and where appropriate, staff gave people advice so they could self-care.

The service monitored all people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they fully met both clinical expectations.

We were shown examples of quality improvement activity to demonstrate positive outcomes for people. For example, the service had processes to review outcomes for those who had undergone weight loss treatment to identify any symptoms and make safety changes to people’s treatment plans. This was carried out remotely at day 2 and day 7 following treatment, and then monthly. At month 6, the service carried out thorough reviews with people during face-to-face appointments which included anthropometric checks such as weight loss percentage calculations and waist circumference. Since the last inspection, the service had implemented prescribing audits to ensure staff were providing treatment in line with national evidence-based guidelines. People’s records had been reviewed to ensure these demonstrated effective treatment planning prior to weight loss prescribing by obtaining blood monitoring results from the patient’s own GP as well as other key body measurements.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff were trained on the requirements of consent and mental capacity. From the records we reviewed during the on-site visit, people’s views and wishes were considered when their care was planned and the service complied with the Mental Capacity Act 2005. We observed chaperone notices were displayed throughout the premises, giving people the opportunity to request an additional professional to attend consultations or treatments. Staff were trained in chaperoning in line with service policy.