Dr Xavier G. Medi-Spa Clinic

Updated 6 December 2017

This announced inspection took place on 11 October 2017. The inspection was led by a CQC inspector with a GP specialist advisor.

During our visit we:

• Spoke with a range of staff including, the directors, the registered manager, the clinic manager, therapists and receptionists. We also spoke with clients who used the clinic.
• Observed how clients were being cared for in the reception area.
• Reviewed comment cards where clients and members of the public shared their views and experiences of the clinic.
• Looked at information the clinic used to deliver care and treatment plans.

To get to the heart of clients’ 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 6 December 2017

We carried out an announced comprehensive inspection on Wednesday 11 October 2017 to ask the clinic the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this clinic was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this clinic was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this clinic was providing caring clinics in accordance with the relevant regulations.

Are services responsive?

We found that this clinic was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this clinic was providing well-led care in accordance with the relevant regulations.

Background

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the clinic was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The clinic had been previously inspected by the Care Quality Commission in 2013 under our previous methodology and was found to be compliant with the regulations at that time.

Dr Xavier G Medi-Spa Clinic offers a wide range of medical cosmetic, skin health and preventative treatments for the face, body and inner health. The clinic is led by co-director Dr Xavier Goodarzian, who is medically supported by a GMC registered doctor and is occasionally supported by an independent Nurse Prescriber There are also three clinic therapists, two reception staff and a clinic manager as well as clinic co-director Mr Martin MacKenzie who is the registered manager.

A registered manager is a person who is registered with the Care Quality Commission to manage the clinic. 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 clinic is run.

The clinic does not treat anyone under the age of 18 and its policy is that no accompanying under-18s are allowed with clients.

The clinic is open weekdays from 9am until 7pm, apart from Wednesdays when it closes at 6pm. All other times, the clinic has an out-of-hours telephone service in place with a call-minding company who have mobile telephone access to aftercare advice with the team at any time should a client have any issues when the clinic is closed.

Seven clients provided feedback about the clinic. All replies were very positive. They stated that there was a great service, very informative with lots of advice. Clients felt welcomed and safe and treated with compassion, respect and dignity.

Our key findings were:

• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
• The clinic had clearly defined and embedded systems to minimise many risks to client safety however there were areas that could be improved upon.
• Staff were aware of current evidence based guidance. Staff had received training to provide them with the skills and knowledge to deliver effective care and treatment.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• There was a clear leadership structure and staff felt supported by management. The clinic proactively sought feedback from staff and clients, which it acted on.
• The provider was aware of the requirements of the duty of candour.
• Due to the building being grade two listed in a conservation area physical modifications for wheelchair access was not possible. However the majority of treatments could be performed in a ground floor treatment room. Wheelchair users could be referred to a similar clinic nearby for better access if needed. The team was trained to ascertain a client’s access requirements at the time of the telephone enquiry in order to better serve their needs.

There were areas where the provider could make improvements and should:

Ensure staff are trained in children's safeguarding to level three for doctors, level two for nurses and level one for administration staff to better support those that may enter the clinic whether a client or visitor.