Archived: Astute Courses Angels Twelve

We carried out an announced focused inspection at Astute Courses Angels Twelve on 8 July 2022. Following our review of the information available to us, including information provided by the service, we focused our inspection on the following key question: safe. Due to assurances we received from our review of information, we carried forward the ratings for the following key questions: effective, caring, responsive and well-led from our last inspection in January 2022. Overall, the practice is rated as good. It is rated as good in safe, effective, caring, responsive and well-led.

Following our previous inspection on 14 January 2022, the practice was rated good overall and requires improvement for the key question safe. It was rated good for key questions effective, caring, responsive and well-led.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Astute Courses Angels Twelve on our website at www.cqc.org.uk

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. Astute Courses Angels Twelve provides a range of non-surgical cosmetic interventions which are not within CQC scope of registration. Therefore, we did not inspect or report on these services. Astute Courses Angels Twelve is registered in respect of the provision of the treatment of disease, disorder or injury and surgical procedures, therefore we were only able to inspect treatments relating to medical conditions which include treatment for excessive sweating (hyperhidrosis), PDO surgical thread lifts (a type of non-surgical face lift), removal of minor skin lesions, antihistamine injections and intravenous vitamin infusions.

Dr Vorodykhina 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.

Our key findings were:

• The service was offered on a private, fee paying basis only and was accessible to clients who chose to use it. Clients were able to access care and treatment from the clinic within an appropriate timescale for their needs.
• The service had good facilities and was well equipped to treat clients and meet their needs.
• Systems, processes and records had been established to seek consent and to offer coordinated and person-centred care. However, we noted that consultations for treatments such as antihistamine injections and vitamin infusions were not fully documented.
• The clinicians maintained the necessary skills and competence to support clients’ needs.
• The provider and staff team demonstrated a positive culture and a commitment to the delivery of person-centred care and treatment.
• The provider had made improvements to the recruitment procedures and had completed risk assessments to ensure the safety of the premises and health and safety of clients and staff.

The areas where the provider should make improvements are:

• Fully document all consultations, including those for treatments such as antihistamine injections and vitamin infusions.
• Display the fire procedure in appropriate areas throughout the building.

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