Archived: Cosmesurge Ltd

Updated 23 July 2019

Cosmesurge Ltd is operated by Cosmesurge Ltd. The service opened in 2018. It is a private hospital in Marylebone, London. The hospital primarily serves the communities of London. It also accepts patient referrals from outside this area.

The hospital has had a registered manager in post since 30 November 2017.

The hospital also offers cosmetic procedures such as dermal fillers in the outpatient facility. We did not inspect these services as they are out of scope of CQC regulation.

Updated 23 July 2019

Cosmesurge Ltd is operated by Cosmesurge Ltd. The service has three recovery beds, two operating theatres, and an outpatient facility.

The service provides cosmetic surgery and outpatient appointments for adults only. We inspected the cosmetic surgery service.

We inspected this service using our comprehensive inspection methodology. We carried out the unannounced part of the inspection on the 08 and 09 May 2019.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Services we rate

We rated it as Requires improvement overall.

We found areas of practice that require improvement in cosmetic surgery:

• At the time of the inspection staff at the service had expired mandatory training.

• At the time of the inspection there was no management oversight for sepsis, the hospital did not have a sepsis policy, sepsis training or a sepsis lead.

• We found some guidance being used was out-of-date and polices were not localised to the environment or hospital in which they were in use for.

• The hospital had not yet started to submit data to the Private Healthcare Information Network (PHIN) as per the legal requirements regulated by the Competition Market Authority.

• We were told on inspection that there were no arrangements in place for those patients requiring a hearing loop or for those patients who were visual impaired. However, post inspection we were told that there was a hearing loop in place and a sign has been put up in reception to notify patients of this facility.

• Cosmetic procedure Information leaflets were not readily available for patients.

• Staff at the hospital could not recall the hospital’s vision and this was not displayed in the hospital.

We found the following areas of good practice:

• There were effective control measures to prevent the spread of infection.

• Records were secure and kept on an electronic record system.

• Pain relief was appropriately monitored and recorded.

• Medicines including controlled drugs were securely stored and the hospital adhered to good record keeping for controlled drugs

• Patients could arrange an appointment by phone or make an enquiry via the clinic’s website. The on-line enquiry form was easy to use.

• All staff we spoke with were positive about the senior management team. They told us they were very visible, and they felt well supported, valued and respected.

Following this inspection, we told the provider that it should take some actions to make improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.

Professor Edward Baker

Chief Inspector of Hospitals

Updated 23 July 2019

Surgery was the main activity of the hospital.

We rated this service as requires improvement overall. Safe and well-led was rated as requires improvement because we were not assured that staff had adequate training in key areas, to keep patients safe, such as sepsis awareness. We rated effective, caring and responsive as good.