Edgbaston Wellness and MediSpa

Updated 6 June 2023

Dr Kiranmayi Penumaka is the registered provider and the service is located at Edgbaston Wellness and Medispa, 11 Greenfield Crescent, Edgbaston, Birmingham, B15 3AU. The service registered with the Care Quality Commission in November 2020 to provide the following regulated activities:

• Diagnostic and screening procedures
• Surgical procedures
• Treatment of disease, disorder or injury

Edgbaston Wellness and Medispa provides treatment for men and women over 18 years of age and specialises in treatments including IV vitamin therapy, facial aesthetic, body treatments, women’s health, men’s health and medical services such as travel vaccinations, private GP consultations (for all ages) and minor surgeries. For example, circumcision, urology, menopause clinic and vasectomy.

During this inspection, we only inspected the treatments that are in scope of regulation.

The service is provided from a fully converted building with consultation rooms, minor surgery room and rooms used for non-regulated treatments. The service is centrally located. There is no on-site parking, however there is off street parking to the front of the building and a pay and display car park is available to the rear of the building. Services available are on a pre-bookable appointment basis. Patients can book appointments directly with the service by telephone or using their website. The service is open Monday to Sunday between 10am and 7pm.

How we inspected this service

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking account of the circumstances arising from the pandemic, and in order to reduce risk we have conducted our inspection differently. This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

• Requesting evidence from the provider
• A shorter site visit

During the inspection:

• We spoke with the provider, clinicians and the administration staff.
• Reviewed key documents which support the governance and delivery of the service.
• Made observations about the areas the service was delivered from.
• Looked at information the service used to deliver care and treatment plans.

To get to the heart of patients’ experiences of care and treatment, we asked the following three questions:

• Is it safe?
• Is it effective?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 6 June 2023

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services well-led? – Good

We previously carried out a focused inspection of Edgbaston Wellness and Medispa on 2 November 2022. We identified breaches of regulation 12 (Safe care and treatment) and regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and issued requirement notices. The service was rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The service was rated as requires improvement overall.

We carried out an announced focused inspection of Edgbaston Wellness and Medispa on 16 May 2023 under Section 60 of the Health and Social Care Act 2008. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008. At this inspection we checked that the service was providing safe, effective and well-led services and found that improvements had been made and previous issues had been resolved. Our ratings of good for caring and responsive services are carried over from the previous inspection.

Edgbaston Wellness and Medispa is a private medical aesthetic and wellness clinic for over 18s offering a range of treatments such as IV vitamin therapy, facial aesthetic and body treatments. The clinic also provides women’s health, men’s health and medical services such as travel vaccinations, private GP consultations (for all ages) and minor surgeries.

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. Edgbaston Wellness and Medispa provides a range of non-surgical cosmetic interventions which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

Dr Kiranmayi Penumaka 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.

Our key findings were:

• The service provided care in a way that kept patients safe and protected them from avoidable harm.
• Governance systems had been strengthened and there was effective systems and processes for monitoring service provision to ensure it was safe.
• The service assessed needs and delivered care in line with current legislation, standards, and evidence-based guidelines.
• There were systems and processes in place for the overall management of significant events and incidents.
• There were appropriate systems in place for obtaining patient consent for procedures undertaken.
• Systems and processes had been strengthened to assess the risk of, and prevent, detect and control the spread of infections.
• Staff felt supported and were confident in raising concerns and suggesting improvements.
• Staff had the skills, knowledge and experience to deliver effective care and treatment. There were arrangements to ensure training for staff in key areas.
• The way the service was led and managed promoted the delivery of high-quality, person-centre care.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services