13 September 2023
During a routine inspection
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