Harley Health Village Bristol

Updated 3 January 2017

Linia Bristol clinic is an independent cosmetic surgery clinic and part of Linia Limited. It provides privately funded surgical cosmetic treatment for adults. The clinic provides services under its trading name of Harley Health Village. The clinic is one of only two clinics registered under Linia Limited. The clinic sees patients from around Bristol however, not all patients would undergo their procedure at the clinic. Some patients would travel to the main clinic in London for this.

The clinic provides cosmetic surgery and outpatient services from Litfield House Medical Centre in Bristol twice a month and carries out a limited number of surgical procedures under local anaesthesia only.

The registered manager is also the Chief Executive Officer and has been in post since July 2015.

Updated 3 January 2017

Updated 3 January 2017

We inspected, but did not rate the service. We found that:

• Staff understood their responsibility and the system used to report incidents.

• The clinic maintained records of implants used during surgery.

• All patient records we reviewed were complete, legible, dated and signed.

• Evidence base guidelines were followed to ensure effective care and treatment for patients.

• The clinic was engaged with the Private Healthcare Information Network and working towards collecting the clinical datasets as recommended by the Royal College of Surgeons, but was experiencing challenges with data submission.

• The clinic adhered to the Royal College of Surgeons professional standards for cosmetic surgery by ensuring a two week cooling off period prior to treatment.

• Patients were treated with dignity, compassion and respect, staff took time to interact with patients and treated them as individuals.

• Services were planned and delivered to meet people’s needs.

• The clinic operated a staggered admissions process.

• Leaders were visible and approachable.

• Staff completed a yearly staff satisfaction survey.

However

• We observed poor handwashing and use of personal protective equipment.

• The WHO checklist was not completed contemporaneously.

• There was no risk assessment to justify the numbers of staff required for theatre.

• The clinic was not using the pre-operative checklist as recommended by the Royal College of Surgeons.

• The clinic had not implemented the Q-PROMS quality of life questionnaires for specific cosmetic procedures as recommended by the Royal College of Surgeons.

• Internal audits lacked quality and depth and audit work was not providing effective assurance of safe and quality care.