PHP Aesthetic Wellness

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

PHP Aesthetic Wellness provides private aesthetic medicine skin care to patients aged 18 and over from a clinic in Harley Street, central London. The clinic is open Monday – Saturday 9:30am - 7:00pm. The staff team comprises a male aesthetician and a practice manager.

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. PHP Aesthetic Wellness provides a range of non-surgical cosmetic interventions, for example fat reduction injections, hair loss treatments and skin hydration treatments which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The service has a 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.

We carried out an announced comprehensive inspection at PHP Aesthetic Wellness on 20 June 2022 as part of our inspection programme.

Our key findings were:

• We reviewed a selection of consultation notes as part of our inspection and found their lack of detail did not provide sufficient assurance that staff had assessed needs and delivered care and treatment in line with best practice, standards and guidance. Although the service’s Director was able to clearly explain the assessment and diagnosis for each patient, this information was not recorded in consultation notes.

• Monitoring and reviewing activity enabled staff to understand risks and gave a clear, accurate and current picture of safety. For example, the provider undertook regular Infection Prevention and Control Audits.

• There was an open culture in which safety incidents were integral to learning and improvement.

• Safeguarding vulnerable adults was given priority.

• Facilities and premises were appropriate for the services being delivered.

• There was an effective and comprehensive process in place to identify, understand, monitor and address current and future risks.

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.

The areas where the provider should make improvements are:

• Take action to introduce a structured programme of clinical audit.

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