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Inspection carried out on 6 September 2019

During a routine inspection

This service is rated as Good overall.

The previous inspection was in April 2018.

The inspection report for the previous inspection can be found by selecting the ‘all services’ link for My Beauty Doctor on our website at www.cqc.org.uk.

Since the April 2018 inspection, our inspection methodology has changed and therefore this is a rated inspection and 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 My Beauty Doctor in Marlow, Buckinghamshire on 6 September 2019. 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.

My Beauty Doctor is registered with Care Quality Commission (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. Some of the services available at My Beauty Doctor, for example the cosmetic treatments, including non-invasive laser procedures are exempt by law from CQC regulation. Therefore, we were only able to inspect the GP led skin treatment service accessed via two prescription only topical creams and the weight loss programme (injectable weight loss medicine) as part of this inspection.

The GP is the registered manager and provider for the service. A registered manager is a person who is registered with the CQC 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 14 completed comment cards which were all positive about the standard of care they received. The service was described as first-rate and professional, whilst staff were described as attentive, helpful and caring.

Our key findings were:

  • The two regulated services within My Beauty Doctor were providing safe, effective, caring, responsive and well led care in accordance with the relevant regulations.
  • The service had clear systems to keep people safe and safeguarded from abuse. The service used recognised screening processes to identify patients who could be at risk of eating disorders or co-morbidities.
  • Patients received effective care and treatment that met their needs. The way in which care was delivered was reviewed to ensure it was delivered according to best practice guidance and staff were well supported to update their knowledge through training.
  • Patients were provided with information about their health and with advice and guidance to support them to live healthier lives. This included sun protection and healthy eating advice.
  • Feedback from patients was consistently positive, feedback highlighted a strong person-centred culture.
  • The service did not provide treatment where they felt it was not in the patient’s best interest. The GP was motivated to prioritise the needs of their patient’s.
  • Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care. Registered patients could visit the service for weight management advice and be weighed as often as they wished.
  • There was an overarching provider vision and strategy with evidence of good local leadership within the service. There were clear responsibilities, roles and systems to support good governance and management.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 17 April 2018

During a routine inspection

We carried out an announced comprehensive inspection on 17 April 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.

My Beauty Doctor Ltd is a private, GP lead, dermatology service and provides aesthetic medical and cosmetic services in Marlow, Buckinghamshire. In addition, the service also undertook blood tests and reviews of the results of such tests for clients undertaking a specific weight loss programme.

My Beauty Doctor also conducts cosmetic treatments to day-clients using a range of non-invasive or minimally invasive procedures including laser and non-laser technology and treatment techniques.

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 service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Therefore, at My Beauty Doctor, we were only able to inspect the services which were subject to regulation. Specifically, we inspected the service relating to the blood tests and review of the results of such tests for clients undertaking a specific weight loss programme. The blood tests were carried out to monitor organ function during the rapid weight loss programme and were not available for those under the age of 18.

We received feedback from 17 clients about the service, including comment cards, all of which were very positive about the service and indicated that clients were treated with kindness and respect. Staff were described as helpful, caring, thorough and professional. However, there was no method to establish how many of the cards referred to the blood testing service we inspected.

Our key findings were:

  • The service had systems to keep people safe and safeguarded from abuse. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.

  • Appropriate systems were in place to identify, assess and manage risk.

  • The service assessed needs and delivered the registered blood testing service in line with relevant and current evidence based guidance

  • Advice on maintaining healthy eating once the programme concluded was available to support a healthier life.

  • The service put their clients first before financial gain. They would not provide treatment where they felt it was not in the client’s best interest.

  • The provider was motivated to prioritise the needs of their clients and they would not provide treatment that they did not feel was in their best interest.

  • The service provided a range of appointments which allowed clients to access the blood testing service within an acceptable timescale.

  • Clients could contact the service or complete feedback forms in the suggestion box within the reception area, the service analysed this feedback including feedback on internet based review forums.

  • Governance arrangements ensured policies and procedures relevant to the management of the service were kept under review.

  • There was a commitment to widening the range of registered services available to people who wished to access private clinic services. For example, in May 2018 a new GP is joining the team which will lead to an increase in services provided.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice