Midland Aesthetic Clinic Also known as BHI Parkside

Updated 12 July 2022

• Midlands Aesthetic Clinic was registered with CQC on 7 July 2020 and is run by a Consultant Ophthalmologist specialising in Ophthalmic Plastic, Reconstructive and Cosmetic surgery offering the following treatments; Chemical Skin Peels, Botulinum Toxin Injections, Dermal Fillers, Silhouette Soft Non-Surgical Face lift and Fat Dissolving Injections. The registered manager is supported by 2 other members of staff.
• The service offers treatment to adults, including those over 65 years of age.
• The service is registered with the CQC to provide services under the Regulated Activities Diagnostic and screening procedures, Surgical Procedures and Treatment of Disease, Disorder or Injury.
• The service delivers regulated activities from its location at BHI Limited, Stourbridge Road, Bromsgrove, B61 0AZ. The service rents space within the building.
• The service is available from 12:00pm until 7:00pm on Fridays.

How we inspected this service

Before the inspection we reviewed information and intelligence held by CQC, we also spoke with the manager, conducted offsite interviews with staff members and reviewed documentation submitted as evidence by the service.

An on-site comprehensive inspection was completed at Midlands Aesthetic Clinic and whilst on site we interviewed the registered manager, reviewed documentation and reviewed the premises and equipment. We carried out remote interviews with staff after the on-site inspection.

To get to the heart of patients’ 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 12 July 2022

This service is rated as Requires improvement 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? – Requires improvement

We carried out an announced comprehensive inspection at Midland Aesthetic Clinic as part of our inspection programme.

Midlands Aesthetic Clinic is run by a Consultant Ophthalmologist specialising in Ophthalmic Plastic, Reconstructive and Cosmetic surgery offering the following treatments:

• Chemical Skin Peels
• Botulinum Toxin Injections
• Dermal Fillers
• Non-Surgical Facelift
• Fat Dissolving Injections
• Surgical eyelid and skin procedures.

The service manager 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.

As part of our inspection process we ask patients to provide feedback. Unfortunately, we did not receive any direct feedback from patients during this inspection. Instead we reviewed feedback provided to Midlands Aesthetic Clinic as part of their clinical audit. All 13 people who completed the providers feedback form provided positive feedback regarding the treatment and care they had received, with many reporting how happy they were with the treatment they had received.

Our key findings were:

• Leaders at the service were knowledgeable about issues and priorities relating to the quality and future of services.
• On the day of inspection, the service had not completed an environmental risk assessment as detailed in their policy. However immediately following our inspection the service submitted evidence of a completed risk assessment.
• The provider did not have an effective fire risk assessment in place specific to the areas where the regulated activities were carried out. When asked staff were unable to identify a designated fire marshal and there were no regular fire drills taking place. Following our inspection the service told us they had assigned fire safety roles to their staff, completed a fire safety drill and fire risk safety assessment.
• The provider did not establish a formal process to demonstrate how they monitored and provided staff development to ensure competency levels were maintained.

The areas where the provider must make improvements 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).

In addition, the areas where the provider should make improvements are:

• The service should implement a reliable appraisal system to identify areas where staff may benefit from further development or support.
• Establish a process for supervising staff to ensure competence is being maintained and training, learning and development needs are being identified. Following the inspection, the provider told us that a formal system had been implemented in response to the inspection.
• The service should explore ways to improve accessibility for patients wishing to use the service, including those whose first language is not English and those with limited mobility.

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

Name of signatory

Deputy Chief Inspector of Hospitals (area of responsibility)