The Care Quality Commission
  • Doctor
  • Independent doctor

Archived: The Northwood Clinic

Overall: Good read more about inspection ratings

36 Westow Street, London, SE19 3AH

Provided and run by:
Ms Caroline Tye

All Inspections

3 February 2022

During an inspection looking at part of the service

We carried out an announced inspection of The Northwood Clinic on the 14 October 2021 where the service was rated good overall and for all key questions, with the exception of well-led. Where we issued a breach of Regulation 17 (Good Goverance) of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The full report of the previous inspection can be found by selecting all reports linked for The Northwood Clinic on our website www.cqc.org.uk.

The provider was registered for the regulated activity of surgical procedures at The Northwood Clinic on 6 April 2020.

The service provides cosmetic treatments to people over the age of 18 years.

The Northwood Clinic is registered with CQC under the Health and Social Care Act 2008 for thread lift treatments which are carried out by a registered health care professional. The other cosmetic services provided are exempt from CQC registration, these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We carried out a focused inspection on the 3rd February 2022, to review the improvements made by the service in response to the breach of regulation.

We have rated the service Good overall.

We have rated the service Good for providing a well led service.

Our key findings were:

  • At our previous inspection on the 14 October 2021, we rated well-led as requires improvement because we were unable to be assured that the recently implemented goverance systems were sustainable. At this inspection we found the provider had responded to our findings and had fully embedded the new goverance and risk systems.
  • Structures, processes and systems to support good governance and management were clearly set out, understood and effective.
  • There was an effective, process to identify, understand, monitor and address current and future risks including risks to patient safety.

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

14 October 2021

During a routine inspection

This service is rated as Good overall.

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? – Requires improvement

The provider was registered for the regulated activity of surgical procedures at The Northwood Clinic on 6 April 2020. This is the first announced comprehensive inspection of the service following CQC registration.

The service provides cosmetic treatments to people over the age of 18 years.

The Northwood Clinic is registered with CQC under the Health and Social Care Act 2008 for thread lift treatments which are carried out by a registered health care professional. The other cosmetic services provided are exempt from CQC registration, these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

As a result of the effects of the pandemic, at the time of the inspection, the service had carried out thread lift treatment for four clients.

We have received four feedback forms from the clients, which were positive about the service, and the treatments they had received.

Our key findings were:

  • The service provided care in a way that kept patients safe and protected them from avoidable harm.
  • Clients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The service organised and delivered services to meet patients’ needs.
  • Clients could access care and treatment in a timely way.
  • The way the service was led and managed promoted the delivery of high-quality, person-centre care.
  • At the inspection, the provider was made aware of some areas of governance and risk that required improvements, these were either responded to on the day or shortly following the inspection. This meant that during the inspection the service was unable to demonstrate that they were embedded fully or that they were sustainable.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Staff should continue to update training and appraisal.

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