Archived: Hum2n

Updated 22 December 2022

Hum2n is an independent clinic in central London.

Services are provided from: Hum2n, 35 Ixworth Place, London SW3 3QX. We visited this location as part of the inspection on 18 October 2022. The provider informed us they moved out from the registered location to this new location on 1 October 2022 and they submitted an application to update their registration with the Care Quality Commission (CQC). The provider was offering limited services as they were waiting for the completion of the CQC registration at the new location.

The service offered a range of complementary therapies. The service offers a wide range of personalised supplements and nutrients. The service is promoting health and well being by offering lifestyle changes and focussing on disease prevention.

The service was open to adults only.

Online services can be accessed from the practice website: www.hum2n.com.

The clinic is open from 9am to 6.30pm Monday to Friday and from 10am to 4pm on Saturday.

Hum2n team consists of two doctors, three nutritional therapists, a sports physiologist and an aesthetician. The senior doctor is the director of the business. The director is supported by a head of operations, a clinic manager, a bar manager, human resource manager and a front of house reception staff.

The service is registered with the CQC to provide the regulated activity of treatment of disease, disorder or injury, diagnostics and screening procedures and surgical procedures.

How we inspected this service

Pre-inspection information was gathered and reviewed before the inspection. We spoke with a range of clinical and non-clinical staff. We looked at records related to patient assessments and the provision of care and treatment. We also reviewed documentation related to the management of the service. We reviewed patient feedback collected by the service.

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 22 December 2022

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Requires improvement

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 Hum2n on 18 October 2022 as part of our inspection programme.

The service offered a range of complementary therapies. The service was promoting health and well being by offering lifestyle changes and focussing on disease prevention. The service offered a wide range of personalised supplements and nutrients.

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. Hum2n provides a range of non-surgical cosmetic interventions, for example, botox and fillers which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The senior doctor 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.

For reasons of safety and infection prevention and control related to the COVID-19 pandemic, we did not commission patient feedback with CQC comment cards. We spoke to two patients during this inspection and received positive feedback.

Our key findings were:

• Recruitment checks were not always carried out in accordance with regulations including Disclosure and Barring Service (DBS) checks.
• Some policies were not always operating as intended. For example, we found that the care and treatment was offered to a 17 years old, which was not in line with the service policies. We also noted that the service was not registered with the CQC to offer services to the children.
• Risks to patients were managed well in most areas, with the exception of issues related to emergency medicines, staff vaccination and the management of legionella.
• A doctor had not received child safeguarding training appropriate to their role. All other staff had received training appropriate to their role. The service had developed an internal training platform which involved role specific competency assessments.
• Consultations were comprehensive and undertaken in a professional manner.
• Consent procedures were in place and these were in line with legal requirements.
• There was an infection prevention and control policy and procedures were in place to reduce the risk and spread of infection.
• Staff members were knowledgeable and had the experience and skills required to carry out their roles.
• Clinical records were detailed and held securely.
• The service held regular clinical governance meetings and minutes were maintained.
• The service had systems to manage and learn from complaints or significant events.
• Patients were able to access care and treatment in a timely manner.

The areas where the provider must make improvements as they are in breach of regulations are:

• Ensure care and treatment is provided in a safe way to patients.
• Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

The areas where the provider should make improvements are:

• Implement a formal process to peer review and monitor the performance of doctors.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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