Archived: Hove Skin Clinic

Updated 15 November 2018

Hove Skin Clinic is a private clinic providing minor surgical and aesthetic cosmetic dermatology treatments. The service is one of three locations operating under the corporate provider trading as Laser and Skin Clinics and based in Brighton, Hove and Worthing. A second location, known as Hove Laser and Skin Clinic and under the provider Medical Skin Clinics Limited, operates from the same premises and carries out services concurrently. Governance is provided by the corporate provider and includes policies and protocols.

Procedures are offered to both adults and children. Private procedures offered include surgical treatment of skin cancers including basal cell carcinoma, squamous cell carcinoma and melanoma, blepharoplasty (the surgical removal of excess eye tissue), the surgical treatment of moles, skin tags, cysts and other non-cancerous skin growths, photodynamic therapy (a chemical interaction between light and a light activated cream to treat skin cancer) and treatment for acne. Surgical treatments are carried out under local anaesthetic. The following aesthetic cosmetic treatments are also provided and are exempt by law from CQC regulation: laser hair removal; thread vein removal; tattoo removal; anti-wrinkle injections and fillers; laser skin treatment and microdermabrasion.

This report concerns only the treatment of minor surgery in dermatology and not the aesthetic cosmetic services.

The provider address is:

13 New Church Road,Hove,BN3 4AA

The surgery is open

Monday 8.30am – 7pm

Tuesday 9am – 9pm

Wednesday 8.30am – 5pm

Thursday 8.30am – 5pm

Friday 8.30am – 5pm

Saturday 8.30am -1pm

Registered services across all locations are provided by six consultant dermatologists (two are also clinical directors) and two GPs who have a specialist interest in dermatology. There is a lead nurse and 19 registered nurses along with five health care assistants. There are two service managers, a head of human resources, a head of information technology, an education manager and a team of receptionists and administrative staff.

We carried out an announced comprehensive inspection at Hove Skin Clinic on 11 October 2018.

Our inspection team was led by a CQC lead inspector and the team included a GP specialist adviser.

Before visiting, we reviewed a range of information we hold about the service. Prior to the inspection we reviewed the information provided from pre-inspection information request. During our visit we:

• Spoke with the provider and clinical and support staff.
• Looked at equipment and rooms used when providing treatments.
• Reviewed records and documents.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 15 November 2018

We carried out an announced comprehensive inspection on 11 October 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.

Hove Skin Clinic  is a private clinic providing general dermatology services and minor surgery. Procedures offered include the surgical removal of moles, skin tags,  cysts, cancerous and non cancerous skin lesions. The service also provides the aesthetic cosmetic treatments for laser hair, thread vein and tattoo removal, anti-wrinkle injections and fillers, laser skin treatment and microdermabrasion.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner. At Brighton Laser Clinic the aesthetic cosmetic treatments that are also provided are exempt by law from CQC regulation. Therefore we were only able to inspect the treatment of minor surgery in dermatology but not the aesthetic cosmetic services.

Dr Russell Emerson and Dr Fiona Emerson are the registered managers. 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We received 45 comment cards from patients providing feedback about the service, all of which were very positive about the standard of care they received. Patients commented that they were confident and assured in the professionalism of staff at the clinic.

Our key findings were:

• The provider had a clear vision to deliver high quality care for patients.
• There were systems and processes in place for reporting and recording significant events and sharing lessons to make sure action could be taken to improve safety in the clinic.
• The service had clearly defined systems, processes and practices to minimise risks to patient safety.
• Policies and procedures were in place to govern all relevant areas.
• The service had adequate arrangements to respond to emergencies.
• Staff were aware of and used current evidence based guidance relevant to their area of expertise to provide effective care.
• Staff had the skills and knowledge to deliver effective care and treatment.
• There was an effective system in place for obtaining patients’ consent.
• The service had systems and processes in place to ensure that patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
• The service had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management.
• The clinic was aware of and complied with the requirements of Duty of Candour.

There were areas where the provider could make improvements and should:

• Review the policy in place in relation to the time frame for repeating DBS checks for all staff.
• Review the process for checking parental responsibility of adults accompanying children to appointments and improve the documentation of these checks.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice