This service is rated as
Good
overall. This is the first inspection of this service.
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 at Dermasurge on 04 May 2022 as part of our inspection programme. The practice is an independent dermatology service located at 121 Harley Street, London,W1G 6AX.
Dr Hiba Alinjibar 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.
Dermasurge is an independent provider of medical services and offers a full range of private dermatology services. This is the first inspection of the service, and this will be a rated inspection.
Ninety one people provided feedback via online reviews about the service. All the feedback we received was very positive, with an average of 5/5 stars, about the staff and services provided by the practice.
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. Dermasurge Limited provides a range of non-surgical cosmetic interventions, for example, aesthetic treatments and Intense Pulsed Light (IPL) treatment for vascular lesions and facial veins which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.
Our key findings were:
- The practice 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.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- The practice was aware of current evidence-based guidance and they had the skills, knowledge and experience to carry out their roles.
- The practice had systems and processes in place to ensure patients were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
- There was a clear leadership structure and staff felt supported by management.
- The practice had systems in place to collect and analyse feedback from patients.
- The practice was aware of their responsibility to respect people’s diversity and human rights.
The areas where the provider must make improvements as they are in breach of regulations are:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
- Continue to improve their system to drive quality improvement, in particular clinical audit relevant to their practice.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care