The Care Quality Commission
  • Doctor
  • Independent doctor

Archived: Courthouse Clinics Body Limited Birmingham

Overall: Good read more about inspection ratings

8 George Road, Edgbaston, Birmingham, West Midlands, B15 1NP

Provided and run by:
Courthouse Clinics Body Limited

Important: The provider of this service changed. See old profile

All Inspections

23 May 2019

During a routine inspection

This service is rated as Good overall. (The service was previously inspected 15 May 2018 but was not rated.)

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 an announced comprehensive inspection at Courthouse Clinics Body Limited Birmingham as part of our inspection programme.

The provider Courthouse Clinics Body Limited has seven other locations nationally registered with CQC providing a range of face, body and skin treatments privately.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. 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. Courthouse Clinics Body Limited Birmingham provides a range of non-surgical cosmetic interventions, for example anti-aging aesthetic procedures and laser hair removal which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The clinic 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 patient feedback on the service through the 24 CQC comment cards completed. All were positive about the service they received and were very complimentary about the staff.

Our key findings were:

  • The provider had systems and processes in place to keep patients safe and safeguarded from harm. However, we identified that not all clinical staff had completed child safeguarding training to a level three, staff told us that they did not see or treat patients under 18 years and under the terms and conditions of the service children were not permitted into the premises.
  • The premises appeared clean and well maintained.
  • Incidents and complaints were used to support learning and improvement.
  • There were systems in place for managing risks.
  • Staff were given appropriate support and training to carry out their roles and responsibilities.
  • Patients were well supported throughout their treatment programme.
  • The provider proactively sought patient feedback and used this to support further improvements.
  • Patient feedback through our CQC comment cards and the patients’ in-house surveys was very positive.
  • The clinic was well organised with clear leadership and governance arrangements.
  • We saw evidence of service improvement activity however, the provider had not yet undertaken any formal evaluation of their weight loss programme.

The areas where the provider should make improvements are:

  • Undertake formal evaluation of the weight loss programme to help review the effectiveness of the programme.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care

15 May 2018

During a routine inspection

We carried out an announced comprehensive inspection on 15 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

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.

Courthouse Clinics Body Limited Birmingham is a private medical clinic located 8 George Road, Edgbaston, West Midlands, B15 1NP in a converted house. The private body clinic is a location for the provider Courthouse Clinics Body Limited who has an additional six clinics across England.

The clinic provides a wide range of face, body and skin treatments. The service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 to provide the regulated activities of; Diagnostic and screening; and the treatment of disease, disorder or injury. Not all of the services it provides are registered with CQC. For example, some of the anti-aging aesthetic procedures and laser hair removal do not fall within the regulated activities for which the location is registered.

The service inspected undertook blood tests and reviews of the results of tests for patients undertaking a specific weight loss programme. We did not inspect any of the other services, as these were not relevant to our regulatory role. The weight loss programme is available to anyone over the age of 18 who wishes to enter such a programme and agrees to four to six weekly blood testing.

The clinic 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.

The regulated service provided at the time of inspection was based on patient demand. The national medical director and doctors with practicing rights supervised the weight loss programme and blood tests were taken in advance of their attendance to enable these to be reviewed with the patient when they attended for their consultation.

Our key findings were:

  • The practice had clear systems to respond to incidents and measures were taken to ensure incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • Systems were in place to deal with medical emergencies and clinical staff were trained in basic life support.
  • The service carried out risk assessments such as a fire and health and safety risk to support the monitoring and mitigation of potential risks. There were systems in place to reduce risks to patient safety. For example, infection control practices were carried out appropriately and there were regular checks on the environment and equipment used.
  • Patients were provided with information about their procedures and after care as well as costs prior to commencing treatment.
  • Systems were in place to protect personal information about patients.
  • An induction programme was in place for all staff and staff received induction training linked to their roles and responsibilities.
  • Clinical staff were trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • The service encouraged and acted on feedback from patients. Patient survey information we reviewed as well as completed CQC comment cards showed that people who used the service was positive about their experience.
  • Information about services and how to complain was available.
  • The service had good facilities, including disabled access. It was well equipped to treat patients and meet their needs.
  • There was a clear leadership and staff structure and staff understood their roles and responsibilities.
  • There were governance systems and processes in place to ensure the quality of service provision.

Areas where the provider should make improvements;

  • Include audits of the weight-loss program to the services existing centralised program of clinical audits to measure the effectiveness of the program.