• Doctor
  • Independent doctor

Archived: THMG Maidenhead

Overall: Good read more about inspection ratings

55 St. Lukes Road, Maidenhead, SL6 7DN 0330 083 8429

Provided and run by:
LCHMG Limited

Important: This service was previously registered at a different address - see old profile

Latest inspection summary

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Background to this inspection

Updated 29 November 2022

THMG Maidenhead (known as ‘the location’) is operated by LCHMG Limited, (known as ‘the provider’) who provide services for 7 locations across England. In November 2019, The Harley Medical Group was acquired by Sk:n Clinics (who, in turn, are operated by Lasercare Clinics (Harrogate) Limited).

THMG Maidenhead registered with the Care Quality Commission (CQC) on 24 June 2020 and is registered to treat patients aged 18 and over.

The clinic is registered to provide the following regulated activities:

  • Diagnostic and screening procedures
  • Surgical procedures
  • Treatment of disease, disorder or injury

THMG Maidenhead provides consultations for cosmetic surgery for adults only. It does not provide services for children. Surgical procedures are carried out at hospitals throughout England, with most cases from the Maidenhead clinic seen at hospitals in London.

The clinic offers consultations and pre- and post-operative assessments and care. Furthermore, blood tests and other screening tests are carried out at the clinic if relevant to a patient’s pre-operative or post-operative care.

Regulated activities are provided from:

  • THMG Maidenhead, 55 St Lukes Road, Maidenhead, Berkshire SL6 7DN

The service website is:

  • www.harleymedical.co.uk/our-clinics/maidenhead

THMG Maidenhead shares a location with Sk:n Maidenhead Clinic (which is operated by the same provider) and whilst some facilities are shared, there are some rooms used exclusively by this service.

THMG Maidenhead is open every weekday with a range of opening hours. The service is open between 10am and 6pm every Monday, between 10am and 8pm every Tuesday, between 9am and 6pm every Wednesday, between 11am and 7pm every Thursday between 9am and 5pm every Friday. Appointments are also available every Saturday between 9am and 5pm. This service does not offer an out of hours service. Patients who need medical assistance out of corporate operating hours can access out of hours support via the contact centre, this is detailed in patient literature supplied by the service.

Consultations, care and assessments are provided by a consultant who works at the clinic under practising privileges. A clinic manager, a nurse, patient advisor and a team of reception, administration and coordinator staff undertake the day-to-day management and running of the service. Staff are supported by the provider’s regional and national management and governance teams.

How we inspected this service

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently. This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

We carried out this inspection on 16 November 2022. Before visiting the location, we looked at a range of information that we hold about the service. Before and during our visit, we interviewed staff, reviewed documents and clinical records, and made observations relating to the service and the location it was delivered from.

Due to the current pandemic, we were unable to obtain comments from patients via our normal process where we ask the provider to place comment cards in the service location. However, we were shown examples of patient feedback which the provider monitored on an ongoing basis. We did not speak to patients on the day of the site visit.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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.

Overall inspection

Good

Updated 29 November 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 THMG Maidenhead on 16 November 2022. The service was registered with the Care Quality Commission (CQC) in June 2020. We carried out this first rated inspection as part of our regulatory functions. The inspection was undertaken to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

THMG Maidenhead 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.

THMG Maidenhead is registered with CQC to provide the following regulated activities:

  • Treatment of disease, disorder or injury
  • Diagnostic and screening procedures
  • Surgical procedures

At the time of our inspection, 2 clinic managers were the joint CQC registered managers. 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 a 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 safety systems and processes in place to keep people safe. There were systems to identify, monitor and manage risks and to learn from incidents, this included reviews from delayed wound healing and any post-operative infections.

  • There were regular reviews of the effectiveness of treatments, services, and procedures to ensure care and treatment was delivered in line with evidence-based guidelines.

  • Staff treated patients with compassion, respect and kindness and involved them in decisions about their care.

  • Feedback from patients was consistently positive and highlighted a strong person-centred culture. For example, since July 2022, there had been 24 responses to the in-house survey with all 24 (100%) receiving positive 5-star reviews (5 stars is the maximum score).

  • Information was shared to patients via newsletters, social media and blogs via the website. Recent blog updates which related to regulated activities included the promotion of breast cancer awareness during breast cancer awareness month.

  • There was a clear strategy and vision for the service. The leadership and governance arrangements promoted good quality care.

  • There was a focus on continuous improvement and improving safety within the sector. For example, the provider worked closely with the Joint Council for Cosmetic Practitioners (JCCP) and contributed to the co-design of new standards.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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