- Independent doctor
Elle Jay Aesthetics Ltd
Report from 12 August 2024 assessment
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
The service was well managed. The clinician who owned the service had clear and effective governance processes, which supported the safe delivery of care. Staff were clear on their individual responsibilities and knew who was accountable for each aspect of the service. Governance played a key part in meetings and audits and processes were discussed at team meetings. The clinician was clear about their roles and responsibilities.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
The clinician who owned the service had a set of values which all staff used in the way they worked. This included kindness and compassion, professionalism, teamwork and collaboration.
The clinician who owned the service had a clear vision for the service. They had plans in place to expand the service to provide a wider range of local holistic services which would compliment the treatments they offered. Staff were excited about the plans and looking forward to the new site being ready to use.
Capable, compassionate and inclusive leaders
The clinician who owned the service had the experience, capacity, and capability to ensure the organisational visions were delivered, and risks were well managed. They were knowledgeable about issues and priorities for the quality and future of the service.
The clinician who owned the service had a clear vision for the service. These included patient safety, community engagement, growth, and sustainability. They had a policy in place for achieving this and were committed to continuing to follow this going forward.
Freedom to speak up
Staff were confident in raising concerns. They knew who to speak to and felt they would be listened to. The clinician who owned the service investigated any concerns raised while respecting the confidentiality of the staff member involved. They took action when they needed to, and learning was shared when appropriate. The service had not received any complaints. If they did receive a complaint or concern these would be fully investigated and when something went wrong, people would receive a sincere and timely apology.
The clinician who owned the service encouraged a positive culture where staff felt they could speak up. They had a policy in place to support this process.
Workforce equality, diversity and inclusion
The clinician considered equality and diversity when recruiting and supporting staff. All staff received the same level of training and development opportunities no matter what their role was, or the number of hours worked.
The service had an equality and diversity policy. We saw evidence the clinician who owned the service and staff providing cosmetic treatments had completed equality and diversity training.
Governance, management and sustainability
The clinician who owned the service supported staff, and all staff we spoke with were clear on their individual roles and responsibilities. Managers met with staff regularly to complete appraisals and performance reviews.
The clinician managed governance well. They had established governance processes that were appropriate for their service. Staff could access all required policies and procedures. Managers held regular practice meetings with staff. Managers clearly recorded any actions arising from these meetings and ensured they shared these with staff. Staff took patient confidentiality and information security seriously.
Partnerships and communities
People were positive about being able to access this type of service locally. They felt the clinician understood the local area and felt this made them feel more comfortable during appointments.
The clinician who owned the service had developed strong links within the local community. They supported local events and gave talks both nationally and locally.
We did not receive any feedback from partners, but the clinician showed us evidence of the people and organisations they worked with. The score for this quality statement is based on this evidence.
The clinician engaged with people, communities, and partners to share learning which resulted in continuous improvements to the service. They used these networks to identify new or innovative ideas that could lead to better outcomes for people.
Learning, improvement and innovation
The clinician who owned the service was passionate about providing a high level of care and treatment to people. They saw learning as an inclusive part of the service they provided and took every opportunity to use this for quality improvement.
The clinician considered all levels of feedback to ensure they were continually learning and improving the service.