The Care Quality Commission
  • Doctor
  • Independent doctor

Edgbaston Wellness and MediSpa

Overall: Good read more about inspection ratings

11, Greenfield Crescent, Birmingham, B15 3AU (0121) 454 8633

Provided and run by:
Dr Kiranmayi Penumka

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Edgbaston Wellness and MediSpa on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Edgbaston Wellness and MediSpa, you can give feedback on this service.

16 May 2023

During an inspection looking at part of the service

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services well-led? – Good

We previously carried out a focused inspection of Edgbaston Wellness and Medispa on 2 November 2022. We identified breaches of regulation 12 (Safe care and treatment) and regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and issued requirement notices. The service was rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The service was rated as requires improvement overall.

We carried out an announced focused inspection of Edgbaston Wellness and Medispa on 16 May 2023 under Section 60 of the Health and Social Care Act 2008. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008. At this inspection we checked that the service was providing safe, effective and well-led services and found that improvements had been made and previous issues had been resolved. Our ratings of good for caring and responsive services are carried over from the previous inspection.

Edgbaston Wellness and Medispa is a private medical aesthetic and wellness clinic for over 18s offering a range of treatments such as IV vitamin therapy, facial aesthetic and body treatments. The clinic also provides women’s health, men’s health and medical services such as travel vaccinations, private GP consultations (for all ages) and minor surgeries.

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. Edgbaston Wellness and Medispa 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.

Dr Kiranmayi Penumaka 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 provided care in a way that kept patients safe and protected them from avoidable harm.
  • Governance systems had been strengthened and there was effective systems and processes for monitoring service provision to ensure it was safe.
  • The service assessed needs and delivered care in line with current legislation, standards, and evidence-based guidelines.
  • There were systems and processes in place for the overall management of significant events and incidents.
  • There were appropriate systems in place for obtaining patient consent for procedures undertaken.
  • Systems and processes had been strengthened to assess the risk of, and prevent, detect and control the spread of infections.
  • Staff felt supported and were confident in raising concerns and suggesting improvements.
  • Staff had the skills, knowledge and experience to deliver effective care and treatment. There were arrangements to ensure training for staff in key areas.
  • The way the service was led and managed promoted the delivery of high-quality, person-centre care.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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

2 November 2022

During an inspection looking at part of the service

At the previous inspection in December 2021 we rated the practice as Good overall. At this inspection we have rated the service as Requires improvement overall.

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services well-led? – Requires improvement

We carried out an unannounced focused inspection at Edgbaston Wellness and Medispa on 2 November 2022 due to information of concern.

Edgbaston Wellness and Medispa is a private cosmetic clinic for over 18s offering a range of treatments such as vitamin therapies, facial aesthetic and body treatments. The clinic also provides women’s health, men’s health and medical services such as travel vaccinations, private GP consultations and minor surgeries.

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. Edgbaston Wellness and Medispa 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.

Dr Kiranmayi Penumaka 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:

  • Medical staff had the relevant skills, knowledge and experience to deliver the care and treatment offered by the service.
  • The service did not always provide care in a way that kept patients safe and protected them from avoidable harm.
  • Policies and procedures were in place to support the delivery of safe services however these needed embedding further.
  • There were arrangements to ensure training for staff in key areas. However, there had been insufficient monitoring to ensure training was received in a timely manner.
  • There were systems and processes to assess the risk of, and prevent, detect and control the spread of infections, however this needed strengthening.
  • Patients received effective care and treatment that met their needs.
  • There were systems in place for identifying, acting and learning from incidents and complaints to support service improvement.
  • Staff treated patients with kindness, dignity and respect.
  • The service encouraged and valued feedback from patients and staff. Feedback from patients was positive.
  • Governance and monitoring processes required further embedding to provide assurance to leaders that systems were operating as intended.
  • The practice organised and delivered services to meet patients’ needs.

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

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

The areas where the provider should make improvements are:

  • Update the providers statement of purpose to include the treatment of patients under the ages of 18 years.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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

9 December 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? – Good

We carried out an announced comprehensive inspection at Edgbaston Wellness and Medispa on 9 December 2021 as part of our inspection programme.

Edgbaston Wellness and Medispa is a private cosmetic clinic for over 18s offering a range of treatments such as IV vitamin therapy, facial aesthetic and body treatments. The clinic also provides women’s health, men’s health and medical services such as travel vaccinations, private GP consultations and minor surgeries.

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. Edgbaston Wellness and Medispa 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.

Dr Kiranmayi Penumaka 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 provided care in a way that kept patients safe and protected them from avoidable harm.
  • Policies and procedures were in place to support the delivery of safe services.
  • The premises and equipment were well maintained, and appropriate risk assessments were undertaken to ensure the safety of patients and staff.
  • The practice had systems and processes in place to minimise the risk of infection and had put in place additional measures during the COVID-19 pandemic.
  • Patients received effective care and treatment that met their needs.
  • There were systems in place for identifying, acting and learning from incidents and complaints to support service improvement.
  • Staff treated patients with kindness, dignity and respect.
  • The practice organised and delivered services to meet patients’ needs.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

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