Archived: Deansgate Surgery

Updated 1 September 2023

Deansgate Surgery is a clinic in Manchester, England, owned and operated by Dr Khawaja Masood Munir. The clinic opened in April 2020 and provides hair transplant surgical services for self-paying patients.

The service has had a registered manager in post since opening in 2020 and is registered to carry out the following types of regulated activity:

• Treatment of disease, disorder or injury
• Surgical procedures

The service operates across two floors, offering patients hair replacement treatments. The service does not treat or offer surgery to children.

The service has clinical rooms, a reception, a patient waiting area, a staff room, an office, consultation rooms and a kitchen. Toilets are in a corridor adjacent to the service.

For the period of July 2022 to June 2023, 781 patients had used the service.

We had previously inspected Deansgate Surgery, in May 2022. At that time we rated the service as Inadequate. We found breaches of regulation in the areas of:

• Safe care and treatment; and
• Good governance

Following our last inspection, we used our enforcement powers to:

• Protect people who use the regulated service from harm and the risk of harm, and to ensure they received a service of an appropriate standard.

As the service was rated as inadequate, it was placed into special measures. How we approach services who are rated as Inadequate can be found on our website: https://www.cqc.org.uk/guidance-providers/independent-healthcare/responding-inadequate-care

Updated 1 September 2023

Our rating of this service improved. We rated it as requires improvement because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety appropriately. Infection risk was controlled adequately. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service broadly managed safety incidents in an adequate manner and learned lessons from them.
  
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients and supported them to make decisions about their care.
  
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided suitable emotional support.
  
• The service planned care to meet the needs of patients. It took account of patients’ individual needs and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
  
• Leaders ran services well using adequate information systems and supported staff to develop their skills. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients to plan and manage services and all staff were committed to improving services continually.

However:

• Documents, policies and legal agreements provided were not always in the name of either the registered provider or the location.
  
• Although feedback could be provided by patients in an easily accessible manner, we found that there was limited information or accessibility for patients to be able to complain appropriately about their care and treatment.

We rated this service as requires improvement because, although it was safe, effective and caring, responsiveness and leadership required improvement.

Updated 1 September 2023

Please see overall summary above.