The Chaddesley Clinic Also known as Birmingham Aesthetic Centre

Updated 16 June 2023

The Chaddesley Clinic provides consultations, examinations and treatments in cosmetic medicine and treatment of skin lesions. Minor surgical procedures are carried out at The Chaddesley Clinic, including the excision of minor skin lesions, mini face lifts, and surgical repair, correction or reconstruction of the eyelids, ears, and earlobes. These procedures are carried out under local anesthetic. All services at the clinic are available to adults only, aged 18 and over. There is no registered patient list at the clinic and the team carries out approximately one surgical procedure per week.

The service is registered with CQC to deliver the Regulated Activities of: Treatment of disease, disorder or injury and surgical procedures.

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. The Chaddesley Clinic provides a range of non-surgical cosmetic interventions, for example Botox for cosmetic purposes, which are not within the CQC scope of registration. Therefore, we did not inspect or report on this service.

The provider, Mr Demetrius Evriviades, 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.

The clinical team consists of three surgeons, one of which is the provider and registered manager. The three surgeons are also NHS consultant surgeons with extensive experience in plastic surgery. The clinical team is supported by an experienced clinic manager who supports with running the service, scheduling appointments, finance, secretarial and administrative functions.

Appointments can be booked over the phone and phone lines are operational Monday to Friday, 9am to 5pm. The clinic is open for appointments between 9am and 1pm on a Wednesday.

How we inspected this service

Before the inspection we reviewed the information submitted by the provider about the services available at the clinic. During the inspection we spoke with members of the clinic team and viewed a range of information and documents, including medical records.

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 16 June 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 The Chaddesley Clinic as part of our inspection programme. The Chaddesley Clinic provides consultations, examinations, and treatments to adults, in cosmetic medicine and treatment of skin lesions. 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. The Chaddesley Clinic provides a range of non-surgical cosmetic interventions, for example the use of Botox for cosmetic purposes, which are not within the CQC scope of registration. Therefore, we did not inspect or report on this service.

Our key findings were:

• Staff had the skills, knowledge, and experience to carry out their roles. The clinical team consisted of three surgeons with extensive experience in plastic surgery.
• There were systems to assess, monitor and manage risks to patient safety. We saw that assessments and treatment was completed in line with relevant and current evidence based guidance and standards.
• There was evidence to demonstrate that staff worked together with other organisations to deliver effective care and treatment. The clinic had direct access to specialist care teams including the skin specialist multidisciplinary team at the University Hospitals Birmingham NHS Foundation Trust.
• There was evidence of quality improvement activity in place.
• The clinic obtained consent to care and treatment in line with legislation and guidance.
• Patient feedback was positive about clinical care as well as timeliness of services. Feedback from staff was positive about the culture and working at the clinic.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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