We carried out an announced comprehensive inspection at Brighton Laser & Skin Clinic on 02 May 2018. We found that the service was providing effective, caring, responsive and well-led services. However, we found that the service did not always provide safe services and a breach of regulation was identified. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Brighton Laser & Skin Clinic on our website at www.cqc.org.uk

Specifically, we said they must:

• Ensure care and treatment is provided in a safe way to patients.

After the previous inspection on 02 May 2018, the provider wrote to us to say what they had done to meet legal requirements. We undertook this focused inspection on 10 July 2018 to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.

Our key findings for this inspection were as follows:

• The provider had an automatic external defibrillator (AED) in place for use in medical emergencies. The provider had conducted a risk assessment to assess the need for oxygen for use in medical emergencies and found the risk of storing oxygen on the premises, alongside flammable laser equipment, outweighed the likely benefits.

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.

Brighton Laser and Skin Clinic is a private clinic providing minor surgery in dermatology. Procedures offered include the surgical removal of moles, skin tags, cysts and other non-cancerous skin growths. The service also provides the aesthetic cosmetic treatments for laser hair, thread vein and tattoo removal, anti-wrinkle injections and fillers, laser skin treatment and microdermabrasion.

This service is registered with Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner. At Brighton Laser and Skin Clinic the aesthetic cosmetic treatments that are also provided are exempt by law from CQC regulation. Therefore, we were only able to inspect the treatment of minor surgery in dermatology but not the aesthetic cosmetic services.

Dr Russell Emerson and Dr Fiona Emerson are the registered managers.  A registered manager is a person who is registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We carried out an announced comprehensive inspection on 02 May 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 not 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.

Brighton Laser and Skin Clinic is a private clinic providing minor surgery in dermatology. Procedures offered include the surgical removal of moles, skin tags, cysts and other non cancerous skin growths. The service also provides the aesthetic cosmetic treatments for laser hair, thread vein and tattoo removal, anti wrinkle injections and fillers, laser skin treatment and microdermabrasion.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner. At Brighton Laser and Skin Clinic the aesthetic cosmetic treatments that are also provided are exempt by law from CQC regulation. Therefore we were only able to inspect the treatment of minor surgery in dermatology but not the aesthetic cosmetic services.

Dr Russell Emerson and Dr Fiona Emerson are the registered managers. 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We received 29 comment cards from patients providing feedback about the service, all of which were very positive about the standard of care they received. The service was described as highly professional, friendly, helpful and organised.

Our key findings were:

• There was a system for reporting, recording, sharing and learning from safety.
• Information about services and how to complain was available and easy to understand.
• The treatment rooms were well organised and equipped, with good light and ventilation.
• The provider assessed patients according to appropriate guidance and standards.
• Staff maintained the necessary skills and competence to support the needs of patients. Staff were up to date with current guidelines.
• Risks to patients were well managed. For example, there were effective systems in place to reduce the risk and spread of infection.
• Medicines were stored safely.
• Systems were in place to deal with medical emergencies. Clinical staff were trained in basic life support and the provider had appropriate emergency medicines in place.
• Staff were kind, caring and put patients at their ease.
• Patients were provided with information about their health and with advice and guidance to support them to live healthier lives.
• The provider was aware of, and complied with, the requirements of the Duty of Candour.

The areas where the provider must make improvements are:

• Ensure care and treatment is provided in a safe way to patients.

You can see full details of the regulations not being met at the end of this report.