Archived: THMG Maidenhead

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