Dr Rowland Payne Dermatology

Updated 5 April 2023

Dr Rowland Payne Dermatology is a consultant led independent healthcare provider offering dermatological services to fee-paying patients. It is located in 27 Devonshire Place in the London borough of Westminster.

The service provides medical dermatology and aesthetic procedures; some of which are exempt from CQC regulation. The service carries out both face-to-face and virtual appointments sees both adults and children.

The service consists of the lead consultant, who is the registered manager, a personal assistant, a secretary, a healthcare assistant and 3 nurses.

The service is open between Monday and Friday from 8:30am to 5pm and is registered with the CQC to provide treatment of disease, disorder or injury, surgical procedures and diagnostic and screening procedures.

How we inspected this service

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 5 April 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 Dr Rowland Payne Dermatology as part of our inspection programme.

Dr Rowland Payne Dermatology is a consultant led independent healthcare provider offering dermatological services to fee-paying patients.

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. Dr Rowland Payne Dermatology provides a range of non-surgical cosmetic interventions, for example Botulinum toxin treatments, which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The lead consultant 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 service had systems to keep patients and staff safe. This included in respect of safeguarding, environmental risk assessments and infection prevention and control. However, the service did not have all the required emergency medicines during the inspection with no written risk assessment for their omission. The service ordered the medicine during the inspection and provided us with the evidence of the order during the inspection.
• The service assessed needs and delivered care in line with current legislation and evidence-based guidelines. Clinicians had the knowledge and experience to carry out their roles and the service was actively involved in quality improvement activity to improve patient care.
• Patients were treated with kindness and respect and patients were involved in decisions about their care and treatment.
• The service organised and delivered services to meet patients’ needs.
• The way the service was led and managed promoted the delivery of high-quality, person-centred care.

The areas where the provider should make improvements are:

• Ensure there are risk assessments for emergency medicines, recommended in national guidance, not within the premises.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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