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Health & Aesthetic Clinic Limited T/A Health and Aesthetics Clinic

Inspection Summary


Overall summary & rating

Updated 16 October 2018

We carried out an announced comprehensive inspection on 8 August 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.

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.

Health & Aesthetic Clinic is registered with the Care Quality Commission to provide the regulated activities of Treatment of disease, disorder or injury, Diagnostic and Screening Procedures, Family Planning Services and Services in slimming clinics. The address of the registered provider is Health & Aesthetic Clinic Ltd, 374 Shooters Hill, London, SE18 4LS.

The clinic’s manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

As part of our inspection we asked for CQC comment cards to be completed by patients prior to our inspection. We received 30 comment cards which were all positive about the standard of care received at the clinic.

Our key findings were:

  • The clinic had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the clinic learned from them and improved their processes.
  • The clinic routinely carried out audits required by the British College of Aesthetic Medicine and reviewed the effectiveness and appropriateness of the care it provided.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • The clinic encouraged and valued feedback from clients.

There were areas where the provider should make improvements:

  • Introduce ways to capture the information discussed during monthly clinical meetings, to mitigate risks after staff absence
  • Implement processes to receive, implement and monitor medicines and safety alerts.
  • Introduce a comprehensive process of quality assurance and quality improvement to enhance patient care and outcomes
  • Complete an emergency medicines risk assessment and put in place arrangements to mitigate any risk identified.
Inspection areas

Safe

Updated 16 October 2018

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

  • All staff received up-to-date safeguarding and safety training appropriate to their role. Staff demonstrated that they understood their responsibilities in safeguarding children and vulnerable adults from abuse.
  • Clear systems were in place for identifying, investigating and learning from incidents.
  • The staffing levels were appropriate for the provision of care and treatment offered by the clinic.
  • Risk management processes were in place to manage and prevent harm.
  • The clinic had an infection control policy and procedures were in place to reduce the risk and spread of infection.
  • The clinic had arrangements to respond to medical emergencies and major incidents. However, the clinic had not risk assessed the decision to not keep certain emergency medicines on the premises.
  • The clinic did not have a formal arrangement to receive and comply with patient safety alerts.

Effective

Updated 16 October 2018

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

  • Patient outcomes were reviewed as part of quality improvement.
  • Staff had the skills and knowledge to deliver effective care and treatment.
  • The clinic shared relevant information with other services appropriately and in a timely way.
  • The clinic only carried audits that were required by the British College of Aesthetic Medicine. For example, the clinic had not reviewed the effectiveness of prescribing medication for skin conditions such as acne.

Caring

Updated 16 October 2018

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

  • Patients’ feedback indicated they were satisfied with care and treatment, facilities and staff at the clinic.
  • We saw the clinic had arrangements to ensure patients were treated with kindness and respect, and maintained patient and information confidentiality.
  • The clinic complied with the Data Protection Act 1998.

Responsive

Updated 16 October 2018

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

  • The clinic had good facilities and was well equipped to treat patients and meet their needs.
  • Patient feedback indicated they found it easy and convenient to make appointments at the clinic.
  • The clinic had a comprehensive complaints policy. Patient feedback was encouraged.

Well-led

Updated 16 October 2018

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

  • The clinic had a clear vision and strategy to deliver high quality care and promote good outcomes for patients.
  • Staff were clear about the vision and their responsibilities in relation to it.
  • There was a clear leadership structure and staff felt supported by management.
  • The clinic had policies and procedures to govern activity. These were implemented and reviewed.
  • The provider was aware of the requirements of the duty of candour.
  • Senior staff encouraged a culture of openness and honesty.
  • There was a focus on continuous learning and improvement among the staff team.
  • Clinicians met monthly to improve efficiency and outcomes . However, these meetings had not been minuted, therefore there was no way to measure progress during the inspection.