We carried out a review of the data available to us about Dr M R Rakus on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Dr M R Rakus, you can give feedback on this service.
This service is rated as Good overall.
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 an announced comprehensive inspection at Dr M R Rakus on 21 January 2020. This was the first CQC inspection of this location under the current CQC inspection methodology, although the location had previously been inspected in 2013.
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. Dr M R Rakus 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.
Dr Rakus is the registered manager of the service. 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.
Our key findings were:
The areas where the provider should make improvements are:
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We spoke with another person who said that the "staff are fantastic" and "I have been coming here for over four years and will not go anywhere else."
We found that people were given sufficient information about their treatments in order to be able to make an informed decision. We saw from the care records that consent was achieved in 100% of the records that had been reviewed for audit.
There were effective controls in place to ensure laser equipment was safe for use and that protective equipment was available for people and staff to use. We saw that routine testing of all equipment was completed and that the clinic complied with the use of laser regulations.
People's feedback was encouraged through the use of on-line surveys and suggestions to improve the service were acted upon. Staff were regularly informed of any improvements or changes required and the staff we spoke with felt that they were able to contribute to improving the service where possible.
We saw that the records were kept up-to-date and stored securely. The people we spoke with were aware that their records were being kept.
Care was delivered in a way which ensured each person's safety. Staff were trained to deal with emergencies and there was emergency equipment available.
There were effective systems place for preventing infection and people reported that the clinic was always clean and hygienic.
Staff received ongoing professional development and people who use the service were complimentary about their skills and experience. Staff were appropriately supported and appraised.
Information on how to complain was given to everyone using the service and people told us they were able to raise concerns if they needed to.