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Inspection report

Date of Inspection: 3, 14 January 2013
Date of Publication: 7 February 2013
Inspection Report published 7 February 2013 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 3 January 2013 and 14 January 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

Reasons for our judgement

The information we reviewed and heard indicated to us that overall staff received appropriate support, training and professional development to enable them to carry out their duties safely and responsibly.

We were unable to look at staff training records during our first visit because these were held securely by the manager who was absent. However the staff we spoke to told us that they had received training in all of the treatments that they performed as well as training in the use of lasers and laser safety.

We were able to confirm this at our second visit in discussions with the manager and by looking at a sample of certificates of the training completed. The manager confirmed that staff training had been focussed on the specific aesthetic treatments and no formal training had been provided to staff on subjects such as infection control, safeguarding of vulnerable adults, equality and diversity and manual handling. The manager confirmed that there were plans in place to address this.

We saw that only a small number of staff, including two qualified nurses, were engaged in the regulated activity for which the Epsom Skin Clinic was licensed with the Care Quality Commission(CQC); that is the activity of surgical procedures. The other staff were therapists who performed non-regulated treatments and laser therapies.

One member of staff who assisted the doctor with surgical procedures confirmed that they had received coaching from the doctor in infection control and aseptic technique. This meant they were aware of the procedures to follow to ensure a procedure was performed under sterile conditions. This was supported by the feedback from one person we spoke to who recalled that the two nurses that had been present during their surgical procedure were allocated separate 'clean' and 'dirty' roles under the direction of the doctor.

We spoke to staff members about their experience of working for the provider. They told us they enjoyed their work and felt well supported. The therapists we spoke to confirmed they had received appraisals in the previous twelve month period. The staff also talked very positively about new initiatives by the managers to increase the frequency of staff meetings from 2013 and to promote better two way communication. They showed us an example of a new staff update which was being delivered to their mobile phones and which kept them informed about developments within the service.

During our second visit a manager showed us that a new staff handbook was under development and showed us new induction and appraisal programmes that were being introduced for new staff. We noted that although the new induction programme dealt comprehensively with the aspects of the service which were not regulated by the Care Quality Commission(CQC), it did not address the essential standards of quality and safety relating to CQC regulated activities. The manager confirmed that they would revise the new programme to ensure that it included training in important areas, for example safeguarding and infection control.