20 July 2023
During a routine inspection
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 The Clinic by Dr Mayoni as part of our inspection programme of a new provider registration for the service. This was a first rated inspection for the service that was registered with the Care Quality Commission (CQC) in August 2020. During this inspection we inspected the safe, effective, caring, responsive and well-led key questions.
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.
The Clinic by Dr Mayoni provides a range of non-surgical cosmetic interventions, for example dermal fillers, lip fillers and Botox injections which are not within the CQC scope of registration. Therefore, we did not inspect or report on these services.
The service director 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.
Our key findings were:
- The premises were clean and well maintained. There were effective systems in place to reduce the risk and spread of infection.
- There was evidence safety risks were assessed and well-managed; the service had established an effective system of health and safety checks.
- The service had developed comprehensive policies which staff had reviewed to ensure the information was up to date and relevant.
- There were safe procedures for managing medical emergencies including access to emergency medicines and equipment.
- The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence based guidelines.
- The service responded to client feedback and their needs and improved their services.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was evidence of systems to support good governance and management.
The areas where the provider should make improvements are:
- Implement a regular programme of clinical audit to monitor quality and identify areas for improvement.
- Consider obtaining a hearing loop and make available large print information.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services