Background to this inspection
Updated
9 November 2023
Forever Young Medical Aesthetics Shrewsbury Ltd
1 Parade Shops, The Parade
St Mary's Square
Shrewsbury
SY1 1DL
www.fyclinic.co.uk
Forever Young Medical Aesthetics Shrewsbury Ltd provide a range of aesthetic services. The treatments that fall under regulation are thread lifts and botulinum toxin injections for cluster headaches for adults aged 18 and over. Services provided are not funded by the NHS. The nominated individual/registered manager is a registered nurse and nurse prescriber. On average between 51 to 100 people use the service each month.
The provider is registered for the following regulated activities: treatment of disease, disorder or injury and surgical procedures from this location only. The location was visited as part of the inspection.
Opening times: Wednesday to Friday between 10am and 5pm. A call out service is provided 7 days a week between 9am and 5pm.
In addition to the sole provider, who is a registered nurse and nurse prescriber, 1 receptionist is employed.
How we inspected this service
We carried out this comprehensive inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. 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 following their registration with CQC.
Our inspection of this service included:
- Requesting a provider information return and additional evidence from the provider prior to and post our site visit.
- A short presentation.
- Interviewing the provider.
- A site visit to undertake a tour of the premises, review records, carry out observations and review key documents which support the governance and delivery of the service.
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
9 November 2023
This service is rated as
Good
overall. This service has not previously been inspected.
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 Forever Young Medical Aesthetics Shrewsbury Limited as part of our inspection programme. The service had not previously been inspected since registration.
Forever Young Medical Aesthetics Shrewsbury Limited is based in Shrewsbury, Shropshire and provides a range of aesthetic services. The treatments that fall under regulation are thread lifts and botulinum toxin injections for cluster headaches for adults aged 18 and over. Therefore, only these services were inspected and reported on. Services provided are not funded by the NHS and people who use the service pay for their treatment.
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. Forever Young Medical Aesthetics Shrewsbury Limited provides a range of non-surgical cosmetic interventions, botulinum toxin injections for cosmetic purposes which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.
Mary Clare Spalding 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 premises were safe, clean and suitable for the provision of care provided.
- There were systems and processes in place to safeguard patients from abuse. However, at the time of the inspection, the provider had not completed the required level of safeguarding children training for their role.
- Not all of the required recruitment checks had been obtained prior to a staff member commencing work.
- Systems, processes and records had been established to seek patient consent before treatment was provided.
- The service had systems in place to identify, investigate and learn from incidents.
- The sole clinician was registered with the appropriate governing body and there was a system in place to ensure they were up to date with revalidation.
- Patients received care and treatment that met their needs.
- Information about treatment and costs were available which enabled patients to make informed decisions. However, we identified some promotional material used did not accurately reflect the current range of services provided, and an incorrect display of CQC rating.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients could access care and treatment in a timely way.
We found 1 breach of regulations. The provider must:
- Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
The areas where the provider should make improvements are:
- Take action to ensure staff complete the required level of safeguarding children training appropriate to their role in addition to learning disability and autism training.
- Improve record keeping systems to ensure records are detailed.
- Take action to gain assurances that regular checks are carried out on the defibrillator, including the battery and expiry date of defibrillator pads.
- Review and improve policies including the staff recruitment policy and the complaints policy to ensure they include all of the information required.
- Carry out an assessment of all staff’s hand hygiene practices and ensure the documentation used for the cleaning checklist matches the policy.
- Take action to ensure promotional material accurately reflects services provided.
- Review and improve systems used to gain effective patient feedback.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Healthcare