Background to this inspection
Updated
20 March 2023
Innersesne Aesthetics Medical is located at Innersense Aesthetics, 136 Boroughbridge Road, York, YO26 6AL.The service has 4 consultation rooms which are all on the ground floor. Patients have access to toilet facilities.
The provider, Innersense Aesthetics Limited, is registered with the CQC to carry out the regulated activities treatment of disease, disorder or injury, surgical procedures and diagnostic and screening procedures. The provider operates a clinician-led service which specialises in aesthetic treatments and weight loss services. Services are only offered to adults. The service does not offer NHS treatment. The service and the treatments within scope of registration are led and carried out by a plastic surgeon consultant (male) and 4 nurses (female). The service is open from 9.30am to 5pm Monday, Wednesday and Friday, 9.30am to 7.30pm Tuesday and Thursday. They are open 9am to 2.30pm on a Saturday.
How we inspected this service
Before visiting we reviewed a range of information we hold about the service and information provided pre-inspection by the service.
During our inspection we:
- Spoke with the registered provider.
- Looked at information the clinic used to deliver care and treatment plans.
- Reviewed documents and policies used by the service.
- Reviewed patient feedback received by the provider and by CQC.
- Observed the premises where services were delivered from.
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
20 March 2023
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? – Good
We carried out an announced comprehensive inspection at Innersense Aesthetics Medical as part of our inspection programme, to inspect all newly registered locations. This was a first rated inspection for the service since they registered with the Care Quality Commission (CQC) in January 2022.
Innersense Aesthetics Medical provides a private aesthetics service for fee paying clients. This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services they provide. 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. Innersense Aesthetics Medical provides a range of non-surgical cosmetic interventions, for example dermal filler injections, anti-wrinkle treatments and non-prescription topical treatment for skin conditions which are not within CQC scope of registration. Therefore, we did not inspect or report on these services. At the time of the inspection, they offered treatments for skin disorders such as acne, rosacea and moles. Procedures for upper blepharoplasty which is carried out to improve hooded or drooping eye lids or eye bags. Botulinum injections are carried into the masseter muscles for teeth grinding. Medical treatment for hyperhidrosis, weight management and a menopause clinic which were within scope of the regulations.
The nominated individual 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:
- There were systems to assess, monitor and manage risks to patient safety.
- The provider assessed needs and delivered care in line with evidence-based guidelines.
- The provider had the skills, knowledge and experience to carry out their roles.
- Patients were treated with kindness, respect and compassion and helped to make decisions about care and treatment.
- The provider had received very positive feedback from patients about the care they had received.
- The provider understood the needs of their patients and wherever possible made reasonable adjustments to make sure the service was accessible and responsive to the needs of patients.
- Patients were able to access care and treatment from the service within an appropriate timescale for their needs. The provider ensured patients were at the centre of all decision making regarding their appointments.
- There were clear structures, systems and processes to support effective leadership and governance. The provider had a drive to deliver safe, personalised, high quality care that met the needs of the people who used the service.
The areas where the provider should make improvements are:
- When the new website is built make sure that the complaint process is available, and accessible in the event that someone is unhappy with the care or treatment received.
- Continue with plans to introduce a system of clinical audit, particularly 2 cycle audits so progress can be reviewed, and areas of continuous improvement can be developed.
- Continue to seek feedback from patients and to analyse results for any themes or trends.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services