23 January 2023
During a routine inspection
This service is rated as Good overall.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection of Rejuvence Clinic on 23 January 2023. This was the first CQC inspection of this location under the current CQC inspection methodology.
The registered manager is one of the doctors at the company. 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.
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. Rejuvence Clinic provides a range of surgical and non-surgical cosmetic interventions, for example laser hair removal which is not within CQC scope of registration. Therefore, we did not inspect or report on these services.
Our key findings were:
- The provider was still in the process of implementing safety measures to comply with legionella and fire safety risk assessments.
- The service provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The service organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the service was led and managed promoted the delivery of high-quality, person-centre care.
Although we did not find any breaches of regulations, the provider should:
- Take steps to address and implement all measures required to manage legionella and fire safety risks.
- Implement an audit or log for staff training.
- Take steps to record staff feedback and resulting action taken.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services