Background to this inspection
Updated
20 July 2022
The service was operated by Excel SA Limited. The service was a private clinic located in Hitchin which provided follicular unit extraction (FUE) hair transplants to patients over the age of 18. The clinic also provided a number of cosmetic and dermatology services that were not within scope for regulation and were therefore not inspected.
The service was registered to provide the following regulated activities:
- Treatment of disease, disorder or injury
- Surgical procedures
- Diagnostic and screening procedures
A registered manager has been in place at the service since it opened in December 2019.
This was the first inspection of the service.
Updated
20 July 2022
This was the first time we inspected this service. We rated it as good because:
- The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. The service had processes in place to manage safety incidents and learn lessons from them.
- Staff provided good care and treatment and gave patients pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. They followed the two-stage consent process.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
- The service planned care to meet patients’ individual needs and made it easy for people to give feedback.
- Leaders ran services well and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients to plan and manage services and all staff were committed to improving services continually.
However:
- There were inconsistencies in the documentation of mandatory training.
- Regular reviews of medicine stock were not documented.
- The service did not always follow its recruitment policy as a member of staff had been recruited before the service had received their references.
- There were inconsistencies in some staff personnel documentation.
- The service did not have an overall risk register at the time of our inspection.
- There was no structured system in place for collecting and auditing patient feedback.
Updated
20 July 2022
This was the first time we inspected this service. We rated it as good. See the summary above for details.