Enhance Cosmetic Solutions Ltd

Updated 6 April 2023

Enhance Cosmetic Solutions Ltd is located at 2 Oak Barn Close, Cranfield, Bedford, Bedfordshire, MK43 0TW. The telephone number is 01234 750454. The website address is www.enhancecosmeticsolutions.co.uk

Enhance Cosmetic Solutions Ltd is a private clinic located on ground floor in a residential property. The service offers thread lifting and Botulinum toxin (Botox) treatment for hyperhidrosis. The service offers a range of cosmetic treatments that are not within scope of CQC registration, such as Botox and fillers for cosmetic reasons and hormone replacement therapy.

Enhance Cosmetic Solutions Ltd is owned and managed by the service manager. No other staff are employed or involved in delivering the services and treatments offered. The service manager is a Registered Nurse Independent Prescriber.

The service is open 5 days a week. Appointments are available between 10am and 6pm on Mondays, between 11am and 7pm on Tuesdays, between 10am and 4pm on Wednesdays, between 10am and 5pm on Fridays and between 10am and 4pm on Saturdays. Appointments are also available outside of these hours on request.The service is closed on Thursdays and Sundays.

How we inspected this service

Before inspecting, we reviewed a range of information we hold about the service and we reviewed the information we asked the provider to send us.

During our inspection we:

• Spoke with the service manager.
• Reviewed how care or treatment were being delivered including the associated record.
• Reviewed 22 client feedback forms, shared by the provider, where service users shared their views and experiences of the clinic.
• Reviewed a range of policies, procedures and management information held by the service.

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 6 April 2023

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? – Good

We carried out an announced comprehensive inspection at Enhance Cosmetic Solutions Ltd on 15 March 2023. The service was registered with the Care Quality Commission (CQC) in May 2020. We carried out this first rated inspection as part of our regulatory functions. The inspection was undertaken to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Enhance Cosmetic Solutions Ltd 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 general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 1 and Schedule 2 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Enhance Cosmetic Solutions Ltd is registered with the CQC to provide 2 regulated activities: Surgical procedures and Treatment of disease, disorder or injury. It is registered to treat adults only. The services that are within scope of registration are thread lifting and Botulinum toxin (Botox) treatment for hyperhidrosis. The service provides a range of cosmetic treatments that are not within scope of registration, such as Botox and fillers for cosmetic reasons and hormone replacement therapy. We did not inspect or report on services outside the scope of registration.

The service manager and nominated individual 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 had clear systems to keep people safe and safeguarded from abuse.
• There were systems in place for the management of significant events and incidents. Risks to service users were assessed and managed.
• The service had reliable systems for appropriate and safe handling of medicines.
• The service had systems to keep clinicians up to date with current evidence based practice.
• The clinic manager were actively involved in quality improvement activity.
• The service obtained consent to care and treatment in line with legislation and guidance.
• The clinic manager helped service users to be involved in decisions about care and treatment.
• The service took complaints and feedback seriously and responded to them appropriately to improve the quality of care.
• The service had a culture of high-quality sustainable care.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.

The areas where the provider should make improvements are:

• Implement systems and processes in line with national guidance in relation to the availability of emergency equipment such as oxygen.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services