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Inspection report

Date of Inspection: 12 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate 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 12 December 2013 and talked with staff.

Our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs.

Reasons for our judgement

The overall responsibility for the service was with the registered manager, who was also the principal plastic surgeon. The registered manager was supported by a medical secretary.

The medical secretary was based on site during weekdays and the registered manager carried out consultations on specific days. The registered manager told us they were adequately resourced to meet the needs of the people who use the service and had sufficient staff to cover for any absence.

The provider had arrangements in place with another consultant who could provide support for people using the service during periods of leave. A former staff member was also available to provide cover for the medical secretary during periods of leave or absence.

We looked at the registered manager’s files, which showed that records such as general medical council registration certificates and indemnity insurance certificates were available and up to date.