We carried out an announced comprehensive inspection on 25 June 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. 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.

Aesthetic Plastic Surgery is registered with the Care Quality Commission to provide the regulated activities of Treatment of disease, disorder or injury and Surgical procedures. The address of the registered provider is Aesthetic Plastic Surgery, 129 Harley Street, London, W1G 6BA. https://www.aestheticplasticsurgery.co.uk/.

The provider 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 we asked for CQC comment cards to be completed by patients prior to our inspection. We received 14 comment cards which were all positive about the standard of care received at the clinic.

Our key findings were:

• The clinic had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the clinic learned from them and improved their processes.
• The clinic routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

People were given appropriate information and support to make decisions. There were leaflets available which explained how care and treatment was delivered. People had two consultations before any surgery was carried out. The consultations gave people an opportunity to discuss the options available to them and decide on what the best treatment for them was.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. People completed a medical history form and provided details of previous medical history, known allergies, family history and current medication. Medical history forms were specific to the type of surgery a person was having (for example, whether they were having implants or facial work).

We spoke with three people who used the service on the day of the visit. All the people we spoke with had been given information about what to expect from treatment, pre and post surgery advice and general information. People felt that it was a good service and were pleased with the outcomes they had achieved.

We asked for and received a summary of complaints people had made and the providers response. We saw that details of the complaint were logged and appropriate responses were sent. We saw cards and comments complimenting the service.