07 June 2023
During a routine inspection
This service is rated as Requires improvement overall. This provider was registered on 22 December 2021 and had not yet been inspected.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Requires improvement
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Inadequate
We carried out an announced comprehensive inspection at Manchester Aesthetics as part of our inspection programme.
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. Manchester Aesthetics provides a range of non-surgical cosmetic interventions, for example, laser hair removal treatments and Botox for cosmetic reasons, as well as beauty treatments such as waxing, and lashes which are not within CQC scope of registration. Therefore, we did not inspect, or report on these services.
The lead nurse and owner 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:
- We found safety concerns, such as lack of appropriate systems to oversee and mitigate risks, ineffective systems concerning recruitment, clinical and general oversight, and audit.
- The provider was unable to demonstrate that clinical records were used effectively for the monitoring of patients where appropriate, coordination and collaboration with relevant professionals was effective, or that quality improvement activity was consistent or effective.
- Client feedback we saw demonstrated that clients were satisfied with the way they were treated and access to the services and the treatment they received. We were unable to determine if any concerns or complaints had been raised.
- The provider was unable to demonstrate that all governance arrangements in place were working as intended, were adhered to or were effective when implemented.
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.
You can see full details of the regulations not being met at the end of this report.
The areas where the provider should make improvements are:
- Establish a succession plan to ensure provider viability going forward.
- Complete staff appraisals with an appropriate frequency.
- Only supply unlicensed medicines against valid special clinical needs of an individual patient where there is no suitable licensed medicine available.
- Establish a system to record verbal complaints.
We issued the provider with a warning notice following our inspection, highlighting where improvements must be made.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care