Background to this inspection
Updated
30 March 2023
Dr Haus Dermatology is an independent provider of medical services. The service provides medical dermatology, and also aesthetic procedures which are not regulated by the CQC. Services are provided from 75 Harley Street, London, W1G 8QL in the London borough of Westminster. All of the services provided are private and are therefore fee paying, no NHS services are provided at the service. Some of the patients seen at the service will be seen once or twice, while others will receive longer term care.
The service is open Monday to Friday from 9am to 8:30pm. There is also a telephony service available on Saturday afternoons. The service does not provide elective care outside of these hours.
The premise is located on the first floor, which is accessible by a lift. The property is leased by the provider and the premises consist of a patient reception area, and six consulting, investigatory and treatment rooms.
The service is operated by a lead practitioner and a service manager. The service also employs 3 aesthetic practitioners (who provide services that are not within the scope of CQC registration), 2 nurses and 6 administrative staff. The service has 3 other dermatologists who work 4 fixed sessions per week at the service under practising privileges, 1 of whom is the registered manager at the service.
During the inspection we utilised a number of methods to support our judgement of the services provided. For example, we interviewed staff, and reviewed documents relating to the service/clinic.
To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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
30 March 2023
This service is rated as
Good
overall.
The key questions are rated as:
Are services safe? – Requires improvement
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 Dr Haus Dermatology Clinics on 1 March 2023. This was the first CQC inspection of this location, although the service had been inspected at a previous address in November 2019 where it was rated as good.
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. Dr Haus Dermatology Clinic 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.
One of the clinicians at the service 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:
- In most areas, the service provided care in a way that kept patients safe and protected them from avoidable harm.
- The service did not have a robust system in place to record both the prescribing and dispensing of medicines.
- Patients 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 practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
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 to patients.
The areas where the provider should make improvements are:
- The service should review the emergency medicines and equipment that it has in place.
- The service should review how it holds pre-employment and training information.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services