Background to this inspection
Updated
30 November 2022
Sk:n London Canary Wharf provides independent doctor-led dermatology services, offering consultations and treatment plans for dermatologically related health issues. The clinic does not carry out any surgical procedures, if this is required, it is undertaken at one of the provider’s London based branches. The service also provides non-regulated aesthetic treatments which are not within the CQC scope of registration.
The Registered Provider is Lasercare Clinics (Harrogate) Limited, who provide services from more than 50 locations across England.
The clinic opening times for Sk:n London Canary Wharf are:
- Monday: 10am-6pm
- Tuesday: 10am-8pm
- Wednesday: 11am-8pm
- Thursday: 12pm-8pm
- Friday: 10am-7pm
- Saturday: 9am to 6pm
- Sunday: 10am-4pm
The staff team is comprised of a clinic manager, supported by aesthetic practitioners who all provide only non-regulated aesthetic treatments. Doctors who specialise in dermatology, provide dermatology consultations and treatments at the clinic subject to client’s individual needs and appointment bookings. Staff are supported by the provider’s regional and national management and governance teams.
The service is located on the ground floor within a shopping mall, there are four treatment rooms in total. Only one of the treatment rooms were used to carry out regulated activities. The clinic has good transport links with regular buses and local tube stations. The premises were modern, clean and decor was in excellent condition.
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
30 November 2022
This service is rated as
Good
overall. (Previous inspection September 2013 – Met all 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 Sk:n London Canary Wharf on 30 September 2022 under Section 60 of the Health and Social Care Act 2008. The inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008. The practice had been inspected in 2013 under our previous methodology which did not apply ratings. This was the first rated inspection of the service under our current methodology.
Throughout the Covid-19 pandemic the Care Quality Commission (CQC) has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently. This inspection was carried out in a way which enabled us to spend a minimum amount of time on-site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
- Speaking with staff in person and on the telephone.
- Requesting documentary evidence from the provider.
- A site visit.
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.
The provider specialises in dermatology consultations and treatments and is led by independent doctors. The service offers a mix of regulated skin treatments, as well as other non-regulated aesthetic treatments. This clinic did not carry out any minor surgical procedures, if minor surgery was required it would be undertaken at another local London based branch clinic.
Sk:n London Canary Wharf provides a wide range of non-surgical aesthetic interventions, for example, laser hair removal and dermal fillers which are not within the CQC scope of registration. Therefore, we did not inspect or report on these services. Sk:n London Canary Wharf is registered with the Care Quality Commission to provide the following regulated activities: Treatment of Disease, Disorder and Injury and Diagnostic and screening procedures.
The service had a registered manager in place. 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 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:
- Leaders and staff had the skills and experience to fulfil their roles in a safe and effective way.
- The provider had comprehensive governance processes to provide assurance to leaders that systems were safe and operating as intended.
- Risk management was deeply embedded in the culture of the service, we saw evidence the provider made improvements when risks were identified.
- There were safeguarding systems and processes to keep people safe.
- There were appropriate arrangements in place to manage medical emergencies.
- Recruitment checks had been carried out in accordance with regulations.
- There were health and safety risk assessments and processes in place.
- The service proactively sought feedback from patients and used this information to monitor and improve the service.
- The provider had an effective complaints procedure with an up to date complaints policy which was accessible by all staff.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services