During a routine inspection
This service is rated as Good overall (previous inspection May 2019 - Inadequate; the service was placed into special measures).
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
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 carried out to check whether the provider had taken action to address shortfalls in relation to legal requirements which had been identified at our previous comprehensive inspection
This service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. The provider operates as a clinician-led service which specialises in medical aesthetic treatments, travel medicine, sexual health screening and general medical services. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Regent Street Clinic Leeds Ltd provides a range of non-surgical cosmetic interventions, which are not within CQC scope of registration. Therefore, we did not inspect or report on these services. This service is registered with the CQC under the Health and Social Care Act 2008 to provide treatment of disease, disorder or injury and diagnostic and screening services as regulated activities, and this was the focus of our inspection.
The regional 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.
We received eight completed CQC comment cards during our visit, all of which were positive. They described the service as safe, hygienic and staff as listening to their needs.
During the inspection we reviewed a range of systems and processes relating to governance, service delivery and customer care.
Our key findings were:
• The service had made progress since the last inspection and had addressed all areas of concern.
• There was adequate clinical oversight and governance systems in place to provide assurance that patients were appropriately screened, in a safe way.
• The service was offered on a private, fee-paying basis only and was accessible to people who chose to use it.
• Staff involved patients in decisions about their care and treatment.
• There were appropriate emergency medicines and equipment kept onsite in case of anaphylactic shock.
• The service encouraged and valued feedback from patients.
• The provider was aware of the requirements of the Duty of Candour.
• Services were tailored to meet the needs of individual patients and were accessible.
• The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by the service. Details of our findings and the evidence supporting our ratings are set out in this report.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care