13 March 2023
During a routine inspection
This service is rated as Requires improvement overall.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Requires improvement
Are services caring? – Requires improvement
Are services responsive? – Requires improvement
Are services well-led? – Requires improvement
We carried out an announced comprehensive inspection of RAMM London Ltd (AKA DR SW CLINICS) on 13 March 2023. This was the first CQC inspection of this location under the current CQC inspection methodology.
The only doctor and clinical director is also the registered manager at the company. 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.
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. RAMM London Ltd provides a range of surgical and non-surgical cosmetic interventions, for example laser treatment which is not within CQC scope of registration. Therefore, we did not inspect or report on these services.
Our key findings were:
- Medical records were not always contemporaneous and digital storage did not always have sufficient security.
- Safeguarding processes and systems were not effective.
- Not all staff had completed training required for their role.
- Not all documents for staff recruitment had been reviewed or recorded.
- There were insufficient clinical and governance audits.
- Not all significant events had been recorded or investigated.
- Not all complaints had been recorded with responses or investigations.
- Health and Safety measures were not always appropriately risk assessed or logged.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
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 complaints are recorded, investigated and responded to.
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care .
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Healthcare