Ruislip

We have not rated the service at this inspection.

The key questions are rated as:

Are services safe? – Not rated

Are services effective? –Not rated

Are services caring? – Not rated

Are services responsive? – Not rated

Are services well-led? – Not rated

We carried a short notice announced comprehensive inspection on 11 March 2022 at Location Ruislip due to concerns we had received. Prior to this on 26 January 2022 we were denied entry to the service as we were told the provider was unavailable and the premises were undergoing renovations and not seeing patients. We took action the make the location Dormant following this failed visit. On 22 February 2022 we visited the location and met with the provider to gain an understanding of the plans they had for the service.

The location was previously used for dental service by another provider via a rental service agreement with the Provider of Ruislip.

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

Ruislip is registered with the Care Quality Commission to provide; Surgical Procedures, Diagnostics and Screening and Treatment of Disease. Ruislip provides a range of services including: Ultrasound scans, botox for migraines and hyperhidrosis. The provider was providing services to children and adults. However, it was not clear the ages of children that could be seen at the clinic. The clinic also offered face and body treatments. The face and body treatments offered at the service are not regulated by the CQC therefore, we did not inspect that part of the service.

The practice manager who is the owner of the clinic 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 people. 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 clinic did not provide care in a way that kept patients safe and protected them from avoidable harm.
• Systems and processes were not developed to provide safe care and treatment to patients.
• There was no defibrillator for use on site and no risk assessment had had undertaken to mitigate the potential risks of the lack of a defibrillator.
• The way the clinic was led and managed did not promote the delivery of high-quality, person-centred care. The provider of the service could not provide reassurances of the governance systems and processes to keep patients safe. There was limited or no evidence of quality improvement processes. There was no system of oversight of any treatments provided.

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

• Ensure that care and treatment is provided in a safe way.
• Establish effective systems and processes to ensure good governance in accordance with fundamental standards of care.

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