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Laser and Light Ltd Also known as The Laser and Light Medical Skin Clinic

All reports

Inspection report

Date of Inspection: 13, 21 November 2014
Date of Publication: 15 January 2015
Inspection Report published 15 January 2015 PDF | 77.91 KB

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Not met this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent 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 13 November 2014 and 21 November 2014, talked with staff and reviewed information given to us by the provider.

Our judgement

The provider was not meeting this standard because, people were not cared for by staff who were appropriately trained

Reasons for our judgement

We looked at training records and found that none of the staff were trained in basic first aid or life support. The provider told us that the nurse who worked one session per week had received intermediate life support training. This training had been provided by the nurse’s main employer. The provider told us if people required first aid or life support staff would always dial the emergency services. This meant that people may be at increased risk of harm if they had a severe reaction to their treatment, as staff had not received up to date training in basic life support or first aid.

The registered provider for the service, who was the doctor providing treatments and regulated activities, had last undertaken basic life support training in 2006 which included CPR (cardiopulmonary resuscitation). We saw the first aid certificate dated 2006 for first aid training undertaken by the doctor. The first aid training was out of date and the doctor told us they had not undertaken any first aid training since 2006.

We saw the provider’s policy in the event of an emergency which stated if the doctor or nurse are not present when the emergency arises, then the staff are to call 999 and request an ambulance. Staff told us if there was a medical emergency, the doctor would deal with it, and if the doctor was not there, they would call the emergency services.

When we inspected this service on 03 October 2013 we saw evidence that showed the doctor was still registered with the General Medical Council (GMC). Staff told us they felt supported by the doctor who managed the service. Staff told us they attended training courses as they arose, and that they would approach the doctor if they wanted to undertake training. We saw that all training undertaken by staff as a part of their job role at the clinic was documented within their individual files.

Staff told us the doctor would talk to them during their reviews about any training they would be suitable to attend. There was a basic induction checklist for training, but it was not specific to individual staff members. We noted the checklist did not contain any names of individual staff members, dates of training or signatures of staff or the provider to confirm training had been completed.

There were regular review meetings for staff to talk about their preparation and developmental needs with the doctor. Staff told us they had consistent feedback on their performance through their communication with the doctor and at team meetings.

Staff told us the doctor was very approachable and they would speak with them on an informal basis about their training needs at any time. Although there were no formal systems to support staff, if individual staff members raised training and development issues, the provider responded to these. Staff told us they felt valued because the provider supported and encouraged them in their personal development. This included access to training when it was offered by external providers.

One staff member had been recruited within the last six months. They told us they had received an induction and we saw documents showing this.

We did not see any formal training system in place and when we asked the registered provider about this, we were informed there was no formal training plan for staff.

The doctor told us she delivered some of the training such as the infection control training. The doctor was not up to date with her own infection control training. The doctor told us she had not received any formal training to enable her to undertake this role as a trainer. This meant there was a risk that staff may not be receiving appropriate training to be able to provide a safe and effective service.

We saw the provider’s infection control policy. We noted the infection control policy for the service did not mention how often staff would be trained on infection control policies and procedures. This meant the providers infection control policy did not give relevan