Sreedhar Jyothi clinic, Central Surgery

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Choose a rating

We carried out an announced comprehensive inspection at Sreedhar Jyothi clinic, Central surgery under the provider registration of Dr Sreedhar Babu Jyothi as part of our inspection programme as this was a newly registered provider.

The service provides aesthetic procedures which include minor surgical procedures around the eyes and PDO thread lifts from a room leased from an NHS GP practice known as Central Surgery. As the registered provider for the service, Dr Sreedhar Babu Jyothi, provides treatments privately to fee paying clients. The registered provider has a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

• The service didn’t always provide care in a way that kept patients safe and protected them from avoidable harm as systems for recruitment and oversight of health and safety matters was not effective.
• Patients received effective care and treatment that met their needs. The provider had not assured themselves staff had received the appropriate training for their role as receptionist or chaperone.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care but there was a lack of management oversight relating to risk management.

The areas where the provider must make improvements as they are in breach of regulations are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Take action to improve activity to monitor and improve the quality of the service.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services