Background to this inspection
Updated
11 March 2020
Regent Street Clinic Leeds Ltd is owned by FBA Medical Ltd and operates from 4 Park Square East, Leeds, LS1 2NE. The provider also provides services at six other locations across England. The building included a reception and waiting area on the ground floor and treatment rooms, located on the first floor. There was on-street pay and display parking available immediately outside the building.
The provider operates as a clinician-led service which specialises in medical aesthetic treatments, travel medicine, sexual health screening and general medical services. Services are available to adults, as well as, with appropriate consent, to those under 18 years of age. This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines for the support of cosmetic or medical treatments.
The service is led by a doctor (male) who is the lead clinician and who is based at the Nottingham location and is available by telephone. The clinicians based in Leeds are; a doctor (male) and a registered nurse (female) and there is a receptionist on duty when the clinic is open.
The service operates:
•Monday – 8am to 3pm
•Wednesday – 3pm to 7pm
•Thursday – 9am to 6pm
•Friday – 8am to 1pm
•Saturday – 9am to 12pm
Patients can also contact the service out of operating hours via an emergency contact number.
How we inspected this service
Before visiting the clinic, we reviewed a range of information we hold about the service. In addition, we requested that the provider send us information pre-inspection which we also reviewed.
During our inspection we:
• Spoke with the registered manager, the lead clinician, the regional manager and a receptionist.
• Looked at information the clinic used to deliver care and treatment plans.
• Reviewed CQC comment cards and patient feedback received by the clinic.
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.
When we returned to the service for this inspection, we saw that the previously awarded ratings were displayed, as required, in the premises. The overall rating was displayed on the practice website with a link to the inspection report.
Updated
11 March 2020
This service is rated as Good overall (previous inspection May 2019 - Inadequate; the service was placed into special measures).
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 this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was carried out to check whether the provider had taken action to address shortfalls in relation to legal requirements which had been identified at our previous comprehensive inspection
This service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. The provider operates as a clinician-led service which specialises in medical aesthetic treatments, travel medicine, sexual health screening and general medical services. 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. Regent Street Clinic Leeds Ltd provides a range of non-surgical cosmetic interventions, which are not within CQC scope of registration. Therefore, we did not inspect or report on these services. This service is registered with the CQC under the Health and Social Care Act 2008 to provide treatment of disease, disorder or injury and diagnostic and screening services as regulated activities, and this was the focus of our inspection.
The regional manager 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.
We received eight completed CQC comment cards during our visit, all of which were positive. They described the service as safe, hygienic and staff as listening to their needs.
During the inspection we reviewed a range of systems and processes relating to governance, service delivery and customer care.
Our key findings were:
• The service had made progress since the last inspection and had addressed all areas of concern.
• There was adequate clinical oversight and governance systems in place to provide assurance that patients were appropriately screened, in a safe way.
• The service was offered on a private, fee-paying basis only and was accessible to people who chose to use it.
• Staff involved patients in decisions about their care and treatment.
• There were appropriate emergency medicines and equipment kept onsite in case of anaphylactic shock.
• The service encouraged and valued feedback from patients.
• The provider was aware of the requirements of the Duty of Candour.
• Services were tailored to meet the needs of individual patients and were accessible.
• The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by the service. Details of our findings and the evidence supporting our ratings are set out in this report.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care