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Inspection Summary


Overall summary & rating

Updated 2 July 2018

We carried out an announced comprehensive inspection at Canova Medical on 23 May 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?.

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

Background Information

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Canova Medical provides cosmetic surgery consultations, pre-operative assessments and post-operative treatments.

Our key findings were:

  • The service had systems in place to keep people safe and safeguarded from abuse.
  • Staff understood their responsibilities to raise concerns and report incidents.
  • There were systems in place to reduce risks to patient safety. For example, infection control practices were carried out and there were regular checks on the environment and on equipment used.
  • Clinical staff assessed patients’ needs and delivered care in line with good practice guidance.
  • People who used the service were given information to make an informed decision about their care and treatment.
  • Appropriate medical assessments were carried out and detailed records of the outcome of these were maintained.
  • An induction programme was in place and staff received specific induction training prior to treating patients.
  • Staff had access to standard operating procedures and policies.
  • The provider encouraged and acted upon feedback from people who used the service. Survey information we reviewed showed that people who used the service had given positive feedback about their experience. Feedback we received from people who used the service was positive.

  • Information about how to complain was available.
  • The provider had a clear vision to provide a safe, good quality service.

  • There were systems in place to check on the quality of the service.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection areas

Safe

Updated 2 July 2018

We found that this service was providing safe care in accordance with the relevant regulations.

  • The provider had processes in place to keep people safe and safeguard them from abuse.

  • Risks to patients were assessed and managed.

  • Health and safety related checks were carried out on the premises and on equipment.

  • Procedures were in place to ensure standards of hygiene were maintained and to prevent the spread of infection.

  • There were sufficient numbers of staff to meet the demand of the service and appropriate recruitment checks were in place for all staff.

  • There was minimal prescribing of medicines and no medicines were held on the premises.

Effective

Updated 2 July 2018

We found that this service was providing effective care in accordance with the relevant regulations.

  • Peoples’ needs were assessed and care was planned and delivered in line with good practice guidance.

  • Systems were in place to ensure appropriate record keeping and the security of patient records.

  • Arrangements were in place to ensure people agreed to the provider sharing information with their GPs if required. Requests for information from GPs were made, if required, to support the clinician in their assessment of people’s needs and to support their decision making.

  • Consent to care and treatment was sought in line with the provider policy.

Caring

Updated 2 July 2018

We found that this service was providing caring services in accordance with the relevant regulations.

  • We did not speak to patients directly on the day of the inspection. However, we reviewed survey information. This showed that patients were happy with the care and treatment they had received.

  • We reviewed CQC comment cards and these contained positive feedback about people’s experiences of the service including;consultations, the quality of treatment, the environment, and the conduct and helpfulness of staff.

  • Staff we spoke with demonstrated a patient centred approach to their work.

Responsive

Updated 2 July 2018

We found that this service was providing responsive services in accordance with the relevant regulations.

  • Feedback from patients indicated that they had received timely treatments.

  • The premises were equipped to meet people’s needs. Alternative premises could be used for people who required disabled access.

  • Information about how to complain was available to patients.

  • The provider made improvements in response to feedback from people who used the service.

Well-led

Updated 2 July 2018

We found that this service was providing well-led care in accordance with the relevant regulations.

  • The provider had a vision to deliver good quality care and promote good outcomes for patients.

  • There were systems in place to govern the service and support the provision of good quality care and treatment.

  • The provider encouraged and acted upon feedback from people who used the service.

  • Staff could also feedback about the quality of the operating systems through staff meetings.

  • Patient information was stored securely and kept confidential.