We carried out an announced comprehensive inspection on 10 September 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.

The service provides injectable Botox treatment for hyperhidrosis for adults only and had treated ten patients for this condition so far.

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.

At City Aesthetics Chester Ltd, the aesthetic cosmetic treatments that are also provided are exempt by law from CQC regulation. Therefore, we were only able to inspect the treatment for hyperhidrosis but not the aesthetic cosmetic services.

The lead clinician (who is a dentist) 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 Care Quality Commission comment cards to be completed by patients prior to our inspection visit. We received 31 comment cards, all of which were positive about the standard of care received.

Our key findings were:

• Systems were in place to protect people from avoidable harm and abuse. When mistakes occurred, lessons were learned.
• There were effective arrangements in place for the management of medicines.
• The service had arrangements in place to respond to medical emergencies.
• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• Patient survey information and Care Quality Commission (CQC) comment cards reviewed indicated that patients were very satisfied with the service they received. Patients commented that staff were knowledgeable and professional and that they were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
• Information about services and how to complain was available.
• There was a clear leadership and governance structure.
• The provider was aware of the duty of candour.

There were areas where the provider could make improvements and should:

• Review the training of non- clinicians to include certifiable safeguarding level one.