Background to this inspection
Updated
29 September 2022
The provider of services, London Health and Aesthetics Limited, operates from two locations in London.
The Cavendish Clinic, Parsons Green, is located at 185 New Kings Road, London, SW6 4SW. The clinic consists of a ground floor reception and retail area, consulting rooms and offices and also a basement area with additional consulting rooms.
The Cavendish Clinic is registered with the Care Quality Commission (CQC) to provide:
- Diagnostic and screening services.
- Treatment of disease, disorder or injury.
- Surgical procedures.
The service is open;
- Monday 9:30am – 6.00pm
- Tuesday 9:30am – 8.00pm
- Wednesday 9:30am – 6.00pm
- Thursday 9:30am – 8.00pm
- Friday 9:30am – 6.00pm
- Saturday 9.00am – 5.00pm
How we inspected this service
Before the inspection we gathered and reviewed information from the provider. During this inspection we spoke to the Registered Manager, the medical director and non-clinical staff. We also reviewed organisational documents including policies and procedures and patient consultation records.
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.
Updated
29 September 2022
This service is rated as
Good
overall. (Previous inspection took place in October 2018 and the service was found to be meeting the relevant standards).
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 The Cavendish Clinic, Parsons Green on 17 August 2022 as part of our inspection programme.
When we previously inspected the service in October 2018, we found the service was meeting the relevant standards, however, we identified some areas where the provider could make improvements and should:
- Establish cold chain policy and procedures.
The Cavendish Clinic is a private clinic that specialises in aesthetic treatments and minor surgery.
The 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.
The Cavendish Clinic provides a range of surgical and non-surgical cosmetic interventions, for example aesthetic cosmetic treatments which are not within CQC scope of registration and therefore these treatments were not inspected. At the time of this inspection the treatments offered at the Cavendish Clinic which were in scope of their CQC registration were: Botulinum Toxin for the treatment of hyperhidrosis, Polydioxanone (PDO) Thread Lifts, and treatments of moles, skin tags and warts.
The clinic director is the registered manager. 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 service had implemented an appropriate cold chain policy.
- They kept written records of verbal interactions as well as written correspondence.
- The provider ensured that facilities and equipment were safe and that equipment was maintained according to manufacturers’ instructions. There were systems for safely managing healthcare waste.
- All new clinical and non-clinical staff undertook induction training which varied according to their role.
- Staff understood the requirements of legislation and guidance when considering consent and decision making.
- Staff treated patients with kindness respect and compassion, as evidenced by patient feedback from the annual patient survey.
- The provider understood the needs of their patients and improved services in response to those needs. For example, the service responded promptly to any patient concerns.
- The facilities and premises were appropriate for the services delivered.
- There was a clear vision and set of values. The service had a realistic strategy and supporting business plans to achieve priorities.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services