Background to this inspection
Updated
25 July 2023
Derby Skin Laser & Cosmetic Clinic is situated in Derby at 1-2 Vernon Street, Derby, DE1 1FR.
The clinic provides medical and surgical treatments, and is run by a husband and wife partnership, supported by 2 part-time receptionists. The service is registered to deliver the regulated activity surgical procedures.
Surgical treatments are provided on Fridays by one of the partners who is a practicing NHS Consultant Ophthalmic Surgeon. Treatments include removal of skin lesions, moles, skin tags and cosmetic eye surgery, such as blepharoplasty. Blepharoplasty is a procedure to remove skin and to add or remove fat from the eyelids. This is the regulated activity that is registered with CQC. The Derby Skin Laser & Cosmetic Clinic does not see or treat clients under the age of 18 years.
The clinic opening times are:
- Thursday 10am- 6pm
- Friday 10am – 7pm.
Further details can be found on their website at www.derbyskinlaserclinic.co.uk
How we inspected this service
During the inspection:
- We spoke with the two partners.
- Reviewed key documents which supported the governance and delivery of the service.
- Made observations about the areas the service was delivered from.
To get to the heart of patients’ experiences of care and treatment, we followed up on the concerns identified in the key question safe at our previous inspection.
Updated
25 July 2023
This service is rated as
Good
overall.
Derby Skin Laser & Cosmetic Clinic was previously inspected on 7 November 2022 when it was rated good overall and in all key questions except for safe which was rated requires improvement. This inspection was to follow up on the actions taken by the provider to act on concerns identified at our previous inspection.
The key question safe is rated as Good following our inspection on 10 July 2023.
We carried out an announced, focused inspection on 10 July 2023 at Derby Skin Laser & Cosmetic Clinic to follow up on a breach of regulation for providing safe care and treatment and 3 best practice recommendations. We found that improvements had been made to meet the relevant requirements.
This service is registered with the CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner for minor surgical procedures. At Derby Skin Laser & Cosmetic Clinic the aesthetic cosmetic treatments, including skin laser treatments, that are also provided are exempt by law from CQC regulation. Therefore, we were only able to inspect the treatment for clients requiring minor surgical procedures but not the aesthetic cosmetic services.
One of the partners is the registered manager. A registered manager is a person who is registered with the CQC 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:
- Recruitment policies had been updated to include the need to explain gaps in employment histories however it had not been fully embedded into practice.
- There were systems in place to manage infection prevention and control.
- Staff had completed, or were booked onto, essential training as identified by the provider.
- A fire risk assessment had been arranged for 18 July 2023.
- Appropriate emergency equipment and medicines were available within the service.
- Patients’ records were stored securely.
The areas where the provider should make improvements are:
- Embed into practice guidance contained in their updated recruitment and staff health assessment policies.
- Review the fire risk assessment planned for 18 July 2023 and develop an action plan to address any potential risks.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services