Nurse Richard – The Wax Wizard

This assessment took place on the 3 September 2025. The inspection was of community health services for adults; and community health services for children, young people and families.

Nurse Richard – The Wax Wizard provides services related to the removal of problematic ear wax, or foreign bodies in the ear canal. The provider was a sole trader, and the only person working in the service.

The service provided safe care and had enough staff to deliver care for patients. Staff assessed patients at the beginning of each session and identified any potential risks. The environment was clean, well-maintained and fit for purpose.

Care and treatment was delivered in line with national guidance and best practice. Staff had the necessary skills, training and experience to provide effective care to patients.

Staff delivered person-centred care and involved patients in decisions about their care and treatment. Patients were made aware of how to raise concerns, give feedback or make a complaint.

The provider was experienced and had a good understanding of the service. The service had a clear model of care. The provider monitored and managed the service effectively. Information about the service was shared online.

Mental Capacity Act

The provider had a consent policy that included considerations of a patient’s capacity. It highlighted possible conditions (such as dementia) and circumstances when particular attention may be needed to ensure the person has capacity to consent. The policy described what action should be taken in the event that the patient did not have the capacity to consent, or were subject to Deprivation of Liberty Safeguards (DoLS) or if the procedure was deemed to be required in their best interest. The provider told us this was a rare occurrence, but was clear about the process to follow if it happened, to ensure that the person was supported and treatment was provided lawfully.

The provider was a sole trader. They had a good understanding of the Mental Capacity Act and how it applied to their service. They took all practical steps to enable patients to make their own decisions. For patients who might have impaired mental capacity, staff assessed and recorded capacity to consent appropriately. They did this on a decision-specific basis with regards to the treatment being offered, specifically the removal of ear wax.

This assessment took place on the 3 September 2025. The inspection was of community health services for adults; and community health services for children, young people and families.

Nurse Richard – The Wax Wizard provides services related to the removal of problematic ear wax, or foreign bodies in the ear canal. The provider was a sole trader, and the only person working in the service.

The service provided safe care and had enough staff to deliver care for patients. Staff assessed patients at the beginning of each session and identified any potential risks. The environment was clean, well-maintained and fit for purpose.

Care and treatment was delivered in line with national guidance and best practice. Staff had the necessary skills, training and experience to provide effective care to patients.

Staff delivered person-centred care and involved patients in decisions about their care and treatment. Patients were made aware of how to raise concerns, give feedback or make a complaint.

The provider was experienced and had a good understanding of the service. The service had a clear model of care. The provider monitored and managed the service effectively. Information about the service was shared online.

Mental Capacity Act

The provider had a consent policy that included considerations of a patient’s capacity. It highlighted possible conditions (such as dementia) and circumstances when particular attention may be needed to ensure the person has capacity to consent. The policy described what action should be taken in the event that the patient did not have the capacity to consent, or were subject to Deprivation of Liberty Safeguards (DoLS) or if the procedure was deemed to be required in their best interest. The provider told us this was a rare occurrence, but was clear about the process to follow if it happened, to ensure that the person was supported and treatment was provided lawfully.

The provider was a sole trader. They had a good understanding of the Mental Capacity Act and how it applied to their service. They took all practical steps to enable patients to make their own decisions. For patients who might have impaired mental capacity, staff assessed and recorded capacity to consent appropriately. They did this on a decision-specific basis with regards to the treatment being offered, specifically the removal of ear wax.

This assessment took place on the 3 September 2025. The inspection was of community health services for adults; and community health services for children, young people and families.

Nurse Richard – The Wax Wizards provides services related to the removal of problematic ear wax, or foreign bodies in the ear canal. The provider was a sole trader, and the only person working in the service. The provider typically treated a small number of children each week.

The service provided safe care, and had enough staff to deliver care for patients. Staff assessed patients at the beginning of each session, and identified any potential risks. The environment was clean, well-maintained and fit for purpose.

Care and treatment was delivered in line with national guidance and best practice. Staff had the necessary skills, training and experience to provide effective care to patients.

The service treated people with kindness, empathy and compassion and respected their privacy and dignity.

Staff delivered person-centred care and involved patients and their parents in decisions about their care and treatment. Patients and their parents were made aware of how to raise concerns, give feedback or make a complaint.

The provider was experienced and had a good understanding of the service. The service had a clear model of care. The provider monitored and managed the service effectively. Information about the service was shared online.

Mental Capacity Act

The Mental Capacity Act only applies to people aged 16 and above.

The provider had a consent policy that included considerations of a patient’s capacity. It highlighted possible conditions (such as dementia) and circumstances when particular attention may be needed to ensure the person has capacity to consent. The policy described what action should be taken in the event that the patient did not have the capacity to consent, or were subject to Deprivation of Liberty Safeguards (DoLS) or if the procedure was deemed to be required in their best interest. The provider told us this was a rare occurrence, but was clear about the process to follow if it happened, to ensure that the person was supported and treatment was provided lawfully.

The provider was a sole trader. They had a good understanding of the Mental Capacity Act and how it applied to their service. They took all practical steps to enable patients to make their own decisions. For patients who might have impaired mental capacity, staff assessed and recorded capacity to consent appropriately. They did this on a decision-specific basis with regards to the treatment being offered, specifically the removal of ear wax.

This assessment took place on the 3 September 2025. The inspection was of community health services for adults; and community health services for children, young people and families.

Nurse Richard – The Wax Wizards provides services related to the removal of problematic ear wax, or foreign bodies in the ear canal. The provider was a sole trader, and the only person working in the service. The provider typically treated a small number of children each week.

The service provided safe care, and had enough staff to deliver care for patients. Staff assessed patients at the beginning of each session, and identified any potential risks. The environment was clean, well-maintained and fit for purpose.

Care and treatment was delivered in line with national guidance and best practice. Staff had the necessary skills, training and experience to provide effective care to patients.

The service treated people with kindness, empathy and compassion and respected their privacy and dignity.

Staff delivered person-centred care and involved patients and their parents in decisions about their care and treatment. Patients and their parents were made aware of how to raise concerns, give feedback or make a complaint.

The provider was experienced and had a good understanding of the service. The service had a clear model of care. The provider monitored and managed the service effectively. Information about the service was shared online.

Mental Capacity Act

The Mental Capacity Act only applies to people aged 16 and above.

The provider had a consent policy that included considerations of a patient’s capacity. It highlighted possible conditions (such as dementia) and circumstances when particular attention may be needed to ensure the person has capacity to consent. The policy described what action should be taken in the event that the patient did not have the capacity to consent, or were subject to Deprivation of Liberty Safeguards (DoLS) or if the procedure was deemed to be required in their best interest. The provider told us this was a rare occurrence, but was clear about the process to follow if it happened, to ensure that the person was supported and treatment was provided lawfully.

The provider was a sole trader. They had a good understanding of the Mental Capacity Act and how it applied to their service. They took all practical steps to enable patients to make their own decisions. For patients who might have impaired mental capacity, staff assessed and recorded capacity to consent appropriately. They did this on a decision-specific basis with regards to the treatment being offered, specifically the removal of ear wax.