Dr Ed Robinson Aesthetics

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We looked for evidence that people were protected from abuse and avoidable harm.

This is the first inspection for this service since its registration with CQC. This key question has been rated as good.
 

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

The provider had processes to report incidents, near misses and safety events. There was a system to record and investigate complaints, and when things went wrong, staff apologised and gave people support. Learning from incidents and complaints resulted in changes that improved care for others. Records confirmed action was taken to ensure staff were trained to routinely follow all processes, including when these were updated.
 

The service had safe systems regarding accuracy of patients’ records relating to their medical history and the recording of consultations. Records were stored in accessible systems. Audits were undertaken to ensure processes were followed and to maintain accuracy. The service worked with people and healthcare partners including other specialist services, as well as people’s GPs or consultants where additional medical information was needed ahead of any treatments, or where they were unable to provide the treatments required.

Safeguarding policies were in place and known to staff, who were appropriately trained in safeguarding procedures. The safeguarding policy aligned with the local authority policy. All staff had completed the relevant safeguarding training. The service had systems to record and share concerns quickly and appropriately. Contact numbers for the safeguarding lead and local authority safeguarding team were easily accessible. All staff at the service had received a DBS (Disclosure Barring Service) check.

The provider worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

The service had processes in place to promote people’s involvement in their plans of care. There were robust templates in place to ensure holistic assessments were carried out ahead of any treatment, which included people’s physical, psychological, lifestyle and other personal circumstances.

We saw from a review of records that assessments contained sufficient information to determine treatment was safe, including past medical history, current medicines and allergies. Records included details of the risks and benefits of treatments to allow people to make informed decisions.

Assessments included supporting people to understand what their expectations were from treatment and enabling them to make an informed choice with built in cooling off periods before treatment took place. As part of all assessments people were asked to complete a body dysmorphia questionnaire, which staff reviewed with them as part of the discussion about suitability for treatments and procedure.

Information was available on-line and also in leaflet form which provided detailed pre and post care for each procedure. Aftercare included people being contacted post-procedure so they could inform the clinic if they had concerns at that time.

Emergency equipment was available and well maintained. Staff could recognise a deteriorating person and knew of the correct action to take. People were advised on risks related to their condition and actions to take if their condition deteriorated
 

Dr Ed Robinson's clinic had been recently renovated to a high standard to meet the needs of people using the service and to complement the treatments being offered. The clinic had 2 floors, with treatment rooms available on the ground floor for people with accessibility needs. We noted treatment rooms had air conditioning installed for people's comfort during treatments. The provider shared details of further planned renovations to convert a clinical room to ensure it met required standards for minor surgery to increase the number of treatments they were able to offer to people.

The provider detected and controlled potential risks in the care environment within the clinic. They made sure equipment, facilities and technology supported the delivery of safe care. Contracts were in place to ensure the premises were maintained. Health and safety risk assessments within the clinic and audits had been undertaken and risks identified had been addressed. There was a business continuity plan in place which was monitored and reviewed.
 

Dr Ed Robinson Aesthetics is a private treatment clinic, with staff trained in many disciplines of aesthetic treatments. Disclosure and barring service (DBS) checks were carried out. We found training was up to date, learning needs and development of staff was managed appropriately, and staff were working within their agreed areas of competence.

The provider kept up to date with industry standards and developments in the fields of the treatments and medication that they offered.

Safe recruitment systems were in place. All clinical staff who provided regulated activities were registered with the relevant professional bodies and were up to date with revalidation. This meant they met regulatory standards and were subject to revalidation of their registration to ensure the delivery of safe and effective care and treatment to patients.

The clinicians who provided regulated activities had additional specialist training relevant to the treatments they provided. They attended conferences, courses and training to keep up to date with innovations and changes within the sector. They also met regularly with a network of local peers to share experience and knowledge.

There were robust security arrangements to protect staff and patients including a no-lone-working rule.
 

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

The provider had a designated infection, prevention and control lead and all staff had had relevant training. Cleaning schedules were in place and followed. Risk assessments and audits were completed, and actions taken to mitigate risks.
 

The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. They involved people in planning, including when changes happened.
Staff involved people in reviews of their medicines and helped them understand how to manage their medicines safely. People knew what to do and who to contact if their condition did not improve or they experienced any unexpected symptoms.

Staff managed prescription stationery appropriately and securely. They followed protocols to ensure they prescribed all medicines safely, and ensured people received all recommended medicines reviews and monitoring. Medicines, including controlled drugs, were stored securely and at appropriate temperatures. Staff regularly checked the stock levels and expiry dates for all medicines, including emergency medicines, and controlled drugs. Waste medicines were recorded and disposed of appropriately, including medicines returned by patients.

The provider had effective systems to manage and respond to safety alerts and medicine recalls. Staff followed established processes to ensure people prescribed medicines with specific risks received recommended monitoring. Staff took steps to ensure they prescribed medicines appropriately to optimise Treatment outcomes.