Background to this inspection
Updated
14 October 2022
Rejuven8 is located at 1 Biscay Way, Wath-upon-Dearne, Rotherham,S63 7DA. The service is located over two floors with a large free car park available nearby. The reception area, consulting rooms and treatment rooms where regulated activities are carried out are on the ground floor.
The provider, N Webster Limited is registered with the CQC to carry out the regulated activities treatment of disease, disorder or injury, diagnostic and screening procedures and surgical procedures from this location.
The provider operates a clinician led service which specialises in aesthetic treatments and health screening. The service does not offer NHS treatment. Services are available to adults and those under 18 years of age with the appropriate consent.
The service and the treatments within scope of registration are led and carried out by the provider who is a nurse practitioner registered with the nursing and midwifery council (NMC). Other staff who work at the service do not offer treatments that fall within scope of registration with CQC.
The service is open Monday to Thursday 10am to 8pm and 10am to 1pm on a Friday.
How we inspected this service
Before visiting we reviewed a range of information we hold about the service and information provided pre-inspection by the service which was also reviewed.
During our inspection we:
- Spoke with the registered provider.
- Looked at information the clinic used to deliver care and treatment plans.
- Reviewed documents and policies used by the service.
- Reviewed on-line comments completed by people who had used the service, feedback received into the CQC and feedback received by the provider following patient treatments.
- Observed the premises where services were delivered from.
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.
The service carried out limited treatments that came under the scope of regulation, for example, PDO threads for facial rejuvenation, injections for sweating and treatment for hayfever,
Updated
14 October 2022
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? – Requires improvement
We carried out an announced comprehensive inspection at Rejuven8 as part of our inspection programme of a new provider registration for the service. This was a first rated inspection for the service that was registered with the Care Quality Commission (CQC) in 2021.
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. Rejuven8 provides a range of non-surgical cosmetic interventions, for example wrinkle relaxing injections which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.
The registered provider for the service is N Webster Limited who 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.
We reviewed patient feedback received by the service which was shared with the Commission during the inspection. Feedback was very positive about the service. Patients told us staff were friendly, efficient, kind and professional.
Our key findings were:
- The provider organised and delivered services to meet patients’ needs following best practice guidelines. Staff were highly skilled and had received up to date training to be able to deliver a clinically safe service in a clean and appropriate environment. However, some governance systems and processes required review to ensure they were effective.
- The provider had some systems and processes for mitigating risks for example, they had completed portable appliance testing of equipment, and completed an infection, prevention and control audit. However, they did not have a health and safety risk assessment of the environment in place to confirm the actions being taken were appropriate.
- The provider was proud of the work they did and of the quality of service they provided.
- Patients commented that staff were helpful and professional and they were happy with the care and treatment they received.
- Services were offered on a private fee paying basis only and were accessible to people who chose to use it.
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.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services