Updated 28 June 2016
Transform Clinic Leeds is part of a national group of 25 consultation clinics for cosmetic surgery. It also provides some minor surgery, for example, for the removal of moles. The Clinical Services Director was the nominated individual on behalf of the company. The clinic opened Monday to Saturday.
Our key findings were:
- There was an effective system in place for reporting and learning from incidents. The provider was aware of the requirements of the duty of candour regulations.
- Risks to patients were assessed and well-managed, including those relating to recruitment checks.
- Staff assessed patients’ needs and delivered care in line with evidence based guidance.
- Staff completed appropriate training to maintain their skills. Clinical staff had completed revalidation and received a yearly appraisal. However, further development of professional skills and sharing of best practice could be strengthened amongst nursing staff.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Patients said they found it easy to make an appointment with a named healthcare professional and that there was continuity of care, with urgent appointments available the same day.
- The provider had good facilities and was well equipped to treat patients and meet their needs. There were good infection, prevention and control procedures. Medicines were managed appropriately.
- There had been a restructuring of the service, which was completed in July 2015. There had been inconsistent management at the clinic since 2010, which had led to low staff morale and a lack of visible management, but this had improved with the appointment of a new manager.
- Governance processes for the monitoring of risk were in place, which were monitored at provider level however, there was no identified process to identify, assess and monitor risks locally.
There were areas where the provider could make improvements and should:
- Ensure that independent interpreters are used where required instead of relatives and friends.
- Ensure that processes for further development of professional skills and sharing of best practice are strengthened amongst nursing staff.
- Ensure that a local risk register is developed to identify, assess and monitor risks to the service.