Background to this inspection
Updated
17 February 2022
Evolve Medical operates from a modern two-storey building located approximately seven miles to the West of Leeds City Centre. On site parking is available.
The service is staffed by a nurse director, three registered nurses, two of whom are independent prescribers, three aestheticians, a registered physiotherapist, clinic manager and three patient coordinators. A consultant in plastic surgery provides services two days per week at the site.
The service opening times are:
Monday, Wednesday, Friday: 9am to 5pm
Tuesday, Thursday: 9am to 8pm
Saturday 9am to 3.30pm.
The service is registered with the CQC under the Health and Social Care Act 2008 to provide the following regulated activities:
- Treatment of disease, disorder or injury
- Diagnostic and screening procedures
- Services in slimming clinics
How we inspected this service
Before we visited the service we reviewed the information available to us on the service website and our own internal systems. We reviewed the information provided to us by the service as part of our pre-inspection information return.
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
17 February 2022
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 Evolve Medical on 1 February 2022. This was a first inspection of a newly registered service. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether ther service was meeting the legal requirements and regulations associated with the Act.
Evolve Medical provides a range of aesthetic and minor surgical procedures, including upper blepharoplasty (eye lift), lip lift, mini face lift, pinnaplasty and labiaplasty. Some injectable slimming treatments are also provided.
Services are carried out by a range of staff including a consultant plastic surgeon, registered nurses, and aestheticians.
Appointments can be booked in a variety of ways, including online, email or by telephone.
Services are available to people aged over 18 only. Evolve Medical refers to people accessing their services as patients, and this terminology is reflected throughout the report. The service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all the services it provides. There are some exemptions from regulation by CQC which relate to particular types of service, and these are set out in Schedule 2 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Therefore, during our inspection we were only able to evaluate the services which fell under our scope of regulation.
The nurse director 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.
Although we were unable to speak with patients during our visit, we viewed written feedback received from patients both after consultation and as part of an annual patient satisfaction survey.
Our key findings were:
- A range of operational policies were in place and accessible to all staff in shared staff areas.
- Quality improvement activity was carried out to monitor outcomes for patients and ensure in-house standards were maintained.
- The premises were well-maintained, with all necessary health and safety measures in place.
- Feedback from patients using the service was positive.
- Staff had access to required training and development opportunities. They told us they felt proud to be part of the service.
The areas where the provider should make improvements are:
- Embed processes introduced following our inspection feedback to routinely confirm age and identity of patients before procedures.
- Extend the scope of quality improvement activity and develop systems to enhance shared learning.
- Provide information available to patients in relation to accessible facilities on the premises.
- Improve information available to patients in relation to making a complaint.
- Embed clinical supervision arrangements for relevant staff.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care