Holmedale Health Also known as Skin Beautiful Medical & Cosmetic Clinic

Updated 11 April 2022

Holmedale Health is operated by Sovereign Clinics Limited from The Consulting Rooms, 34 Denmark Road, Exeter, Devon, EX1 1SE. Sovereign Clinics Limited has one other clinic registered with the CQC in England.

A link to the clinic’s website is below:

www.hm-skinbeautiful.com

Clients can contact the clinic by telephone from 8am to 8pm from Monday to Saturday. Clinic appointments are available each week on a Thursday.

Holmedale Health first registered with CQC in November 2019 and is registered to provide services to clients over the age of 18, although the provider stated the age of clients is generally over 25.

The provider is registered to provide the following regulated activities; diagnostic and screening procedures, treatment of disease, disorder or injury and surgical procedures.

The clinic is in a residential area in Exeter. There is very limited parking on site but there is on street parking and public car parks are available within a five minute walk.

How we inspected this service

Before the inspection, we asked the provider to send us information about the service. This was reviewed prior to the site visit.

We also reviewed information held by CQC on our internal systems.

During the inspection we spoke with the provider, reviewed documentation and records including clinical records.

We made observations of the premises, facilities and the service provided.

The provider described people using their service as “clients” so from here on in this is how they will be referred to in the report.

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.

We spoke with three clients by telephone following the inspection. Their feedback was positive, and they were satisfied with the service they had received.

Updated 11 April 2022

This service is rated as Good overall.

The service was registered with Care Quality Commission (CQC) on 20 November 2019 and this is the first inspection since registration.

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 Holmedale Health as part of our planned inspection programme.

Holmedale Health is a registered location, the provider of which is Sovereign Clinics Limited who refer to the location as Skin Beautiful Medical & Cosmetic Clinic.

This service is registered with CQC under the Health and Social Care Act 2008 as Holmedale Health 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.

Holmedale Health, the service, provides a range of non-surgical cosmetic interventions, for example, Botox injections which are not within CQC’s scope of registration. Therefore, we did not inspect or report on these services. We inspected those procedures offered by Holmedale Health which are regulated activities, for example, Polydioxanone (PDO) thread lifts, amino acid injections and vitamin B12 injections.

Sovereign Clinics Limited is led by the two company directors. Care and treatment at Holmedale Health is carried out by one of the directors who is a registered nurse and who is also the nominated individual and the registered manager. We will refer to this person as the nominated individual throughout this report. 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.

The second director, who is the business manager carried out business and administration tasks, attended each clinic and welcomed clients, spoke with clients when booking appointments and provided chaperone support when required.

There were no other staff working within the service.

Following the inspection three people provided positive feedback about the service by telephone.

Our key findings were:

• The service had established safety procedures to keep clients safe. This included safeguarding them from abuse.
• Infection prevention and control systems and processes were effective. The nominated individual had introduced additional measures to reduce the risk from COVID-19.
• The nominated individual kept up to date in their specialist field and reviewed and monitored care and treatment to ensure the services provided were effective.
• Clients were treated with kindness and respect. The nominated individual delivered a patient centred service and involved clients in decisions about their care.
• The nominated individual organised and delivered services to meet patient’s needs.
• Clients were able to contact the nominated individual six days a week for information and advice.
• Clients were advised of treatment prices in advance.
• Clients had access to the complaints process.
• The nominated individual and business manager reviewed the service strategy and supporting business plans to provide a good outcome for clients.
• The nominated individual and business manager worked together to ensure the continuity and flexibility of the service to meet the needs of clients.
• The nominated individual welcomed and encouraged feedback and communication with clients.

Whilst we found no breaches to regulation the areas where the provider should make improvements are:

• The provider should assess whether Disclosure and Barring Service (DBS) checks are required prior to people starting work within the service.
• The provider should consistently monitor and the record the temperature of any equipment used to maintain the safety and effectiveness of medicines.
• The provider should consider access to interpretation and translation services for clients whose first language was not English.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care