Midland Aesthetic Clinic Also known as BHI Parkside

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)