B Matti Company Limited

Updated 19 August 2022

The service B Matti Company Ltd is located at.

Flat 2

30 Harley Street

London

W1G 9PW

Website; www.bm-plasticsurgery.com

The premises consisted of a reception room, consultation room and treatment room, with separate offices for non-clinical staff. The practice manager explained that disabled access was available using the basement entrance and the lift. The provider is the sole doctor, and they are supported by a practice manager, practice nurse and two administration staff members.

The provider is an aesthetic (plastic) surgeon who offers consultations pre and post operatively for aesthetic surgery at private clinic rooms. The provider then performs the surgery within a designated hospital. In addition, the service offered minor surgery carried out on the premises

and botulinum toxin, used for the treatment of increased sweating or acne.

The service is open from 9am to 5pm Monday to Friday and appointments with the provider were available on a Tuesday and Thursday. Later appointments could be made by prior arrangement.

How we inspected this service

The methods that were used, for during this inspection were:

• A site visit to the location.
• Reviewing documents and records.
• Interviewing the lead clinician and staff.

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 19 August 2022

This service is rated as Good overall. (Previous inspection January 2019, where the service was not rated.

The service was rated overall as Good.

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 B Matti Company Limited,

Flat 2, 30 Harley Street, London W1G 9PW, to enable the Commission to provide a quality rating for the services provided.

The provider is an aesthetic (plastic) surgeon who offers consultations pre and post operatively for aesthetic surgery at private clinic rooms. The provider then performs the surgery within a designated hospital.

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 which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The lead clinician 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.

The service used an online patient feedback service, where they had sought feedback prior to the inspection, they submitted ten reviews which were all five stars and made positive comments.

Our key findings were:

• Systems and processes were in place to keep people safe. The service lead was the lead member of staff for safeguarding and had undertaken adult and child safeguarding training.
• Governance arrangements were in place. There were clear responsibilities, roles and systems of accountability to support good governance and management.
• The provider assessed patients' needs, prior to their operation, and following the operation offered the patient’s time to consider their decision to agree to surgery and informed patients about the cost of the procedures.
• The service obtained consent to care and treatment in line with legislation and guidance.
• Patients’ immediate and ongoing needs were fully assessed. Where appropriate this included their clinical needs and their mental and physical wellbeing.
• The service had an infection control policy and procedures were in place to reduce the risk and spread of infection.
• The service shared relevant information with other services appropriately and in a timely way.
• The service had good facilities and was well equipped to treat patients and meet their needs.

The areas where the provider should make improvements are:

• Consider carrying out further internal audits to ensure best practice and the safety of treatments.
• Check the risk assessment for the common areas in the building includes that the service stored oxygen on the premises.
• Encourage staff to complete their sepsis training.
• Continue to document internal staff meetings and review the service policies.
• Record the fridge temperatures as recommended in the manufacturer’s instructions.

Dr Sean O’Kelly

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