Cheshire Beauty & Wellbeing Also known as AB Advanced Practice

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? – Requires improvement

We carried out an announced comprehensive inspection at Cheshire Beauty & Wellbeing as part of our inspection programme. The service has not been previously inspected.

Cheshire Beauty & Wellbeing is registered with CQC to provide diagnostic and screening procedures, surgical procedures and treatment of disease, disorder or injury. At the time of the inspection treatments being provided that required CQC registration included minor surgical procedures such as mole removal, some injectable slimming treatments and botox to treat medical conditions such as hyperhidrosis (excessive sweating).

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. Cheshire Beauty & Wellbeing provides a range of non-surgical cosmetic interventions, for example dermal lip fillers which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The service has one clinician conducting regulated activities who is also the nominated individual and 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 service is supported by a patient co-ordinator.

Three people provided feedback about the service during the inspection.

Our key findings were:

• The service provided safe care. The service had clear systems to keep people safe and safeguarded from abuse.
• People received effective care and treatment that met their needs.
• Patients were treated with respect and staff were kind, caring and involved them in decisions about their care.
• Services were tailored to meet the needs of individual patients and were accessible.
• There was a lack of understanding of the management of risks and a lack of assurance in the systems and processes to ensure effective oversight of the service.

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:

• Implement clinical audit to monitor patient outcomes and quality of service.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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