This service is rated as
Good
overall. The service has not been inspected before.
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
Elite Surgical is a private clinic specialising in plastic and cosmetic surgery related pre- and post-operative consultations based in Birmingham, with satellite clinics in Manchester and London.
The Doctor 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 a legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated regulations about how the service is run.
We carried out an announced comprehensive inspection at Elite Surgical on 2 November 2021 as part of our inspection programme and to provide a rating for the service.
Our key findings
At this inspection we found:
- Consultations and surgical procedures were undertaken at private hospitals and not on the premises that we inspected.
- The provider had service level agreements in place with private hospitals from where regulated activities were delivered.
- The provider had a system in place to record and investigate incidents and complaints.
- The service had arrangements in place to respond to medical emergencies.
- The service had arrangements in place for providing out of hours advice and post-operative support.
- The service had clear vision and values that promoted the delivery of a high-quality service.
- The provider had systems in pace to monitor the quality of their treatment and make improvements where necessary.
The areas where the provider should make improvements are:
- Improve systems to more effectively monitor and manage staff training information for the consultant surgeon.
- Formally document initial safety risk assessments and the review of CQC inspection reports whenever a new hospital site is used. Implement a system to review the safety risk assessments at regular intervals.
- Improve the process to confirm patient identity to include checking if under 18.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care