- Independent doctor
BS Plastic Surgery Ltd Also known as Ministry of Aesthetics
Report from 12 January 2024 assessment
Contents
On this page
- Overview
- Learning culture
- Safe systems, pathways and transitions
- Safeguarding
- Involving people to manage risks
- Safe environments
- Safe and effective staffing
- Infection prevention and control
- Medicines optimisation
Safe
Staff promoted a culture of collaborative working with safety central to decisions. Staff told us they were supported and encouraged to ask questions and report concerns. We found concerns were investigated, findings informed changes and improved patient services. People were supported by trained staff who provided information and support to assist them to make choices.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Learning culture
There was an established and effective system in place for recording, investigating, reviewing, and acting on significant events. The provider was aware of and complied with the Duty of Candour. Whilst staff understood their duty to raise concerns and report incidents and near misses. The complaints policy was displayed within the reception area and included within the patient handbook. Staff worked together to identify and meet the needs of the people who used the service. Weekly and monthly staff meetings were held, and performance, clinical outcomes, and business improvements were discussed, actions assigned and resolved. For example, the provider had reviewed their assessment and consultation templates and added additional risk requirements and more detailed descriptions of discussions held with people. Such as if they were a smoker or used vapes.
Safe systems, pathways and transitions
We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safeguarding
We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.
Involving people to manage risks
We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe environments
Comprehensive systems and processes were in place to monitor risks to patients, staff and visitors these included environmental risk assessments, fire risk, legionella assessments, weekly fire drills and daily water testing. The premises were clinically suitable for the assessment and treatment of patients. Reasonable adjustments had been made to ensure equitable access to the clinic. The provider ensured that facilities and equipment was safe, and that equipment was maintained according to the manufacturer’s instructions. All portable electrical equipment was routinely tested and displayed stickers indicating the last testing date was August 2023. Records showed fridge temperature checks were carried out which ensured medicines were stored at the appropriate temperature. Healthcare waste was appropriately disposed of.
Safe and effective staffing
Staff told us they were encouraged and supported to maintain and develop their skills and knowledge. Relevant professionals were registered with the General Medical Council (GMC) and the Nursing and Midwifery Council (NMC) and were up-to-date with their revalidation.
The provider ensured staff had protected learning time and attended training. The lead clinician and registered manager of the service had the skills, competence, and experience to perform the treatments and procedures.
Infection prevention and control
We found the premises were clean, suitably furnishings and well maintained. Single use equipment was used to mitigate the risk of infection and staff appropriately disposed of sharps/needles. Staff had access to personal protective equipment and hand sanitising facilities were accessible and used by staff and people. Cleaning checklists had been appropriately completed. IPC audits including of handwashing had been conducted and demonstrated compliance with guidance.
Staff had completed infection prevention and control (IPC) training and had been vaccinated in line with current UK Health and Security Agency (UKHSA) guidance relevant to their role.
Medicines optimisation
People were advised of potential risks, self-care following their treatment(s) and provided additional information and contact details should they experience adverse effects. Staff conducted audits to assess the effectiveness of interventions including any discomfort or adverse effects.
There are effective systems in place for the appropriate and safe handling of medicines. Medicines were in date, stored appropriately and equipment suitable for use. Prescriptions were stored and managed appropriately. Staff prescribed, administered and/or supplied medicines in accordance with best practice and national guidance. There were systems and processes in place to receive, investigate and respond to safety alerts from the Medicines and Healthcare Products Regulatory Agency (MHRA).