The purpose of this inspection was to check that the provider had taken the necessary steps to address the compliance actions identified on our previous inspection.

We found that the required improvements had been made to the reporting system and that the culture for reporting and learning from incidents had improved.  There were processes in place to notify relevant bodies such as CQC of incidents that affected patient safety or treatment.

The clinic had made changes to staffing and employed a full time nurse to provide adequate cover. 

Records were secure and complete including electronic copies on the electronic patient record system. One consultant’s written notes that were not easy to read. We raised this with the manager at the time of our visit.

Staff were supported and received regular supervisions and appraisals. There were induction programmes and staff competency frameworks in place. Mandatory training had been completed for all staff including those still in their first six months of employment. There was role specific training for staff which 50% of staff had completed.

Patients were positive about the service they had received. Patients told us they had a choice of consultants and locations for surgery and the clinic demonstrated flexibility in meetings the needs of patients in terms of appointments.

We visited MYA Cosmetic Surgery Ltd (Nottingham) in response to concerns we received regarding the provision of surgical aftercare and the terms and conditions relating to fees.

We spoke with three people who had used the service who were at different stages of their chosen procedures. People told us they had sufficient information provided to them about their care.

One person who used the service told us they had confidence in the competence of the staff team. They commented, "Staff are reassuring and friendly."

People were provided with details of the costs of the procedures they had chosen. These were individually costed depending on the type and complexity of the procedures people had chosen. The patient information guide included the terms and conditions relating to refunds and cooling off periods. One person told us, "I was given all the information, and the surgeon went through everything with me."

People were involved in decision-making processes regarding their care. There were systems in place to inform people about the types of procedures they had opted for including the potential risks associated with surgery.

There were not sufficient provision of nursing staff available to ensure that care could always be offered at the Nottingham clinic. This meant that people sometimes had to travel significant distances to access care at other MYA clinics, or access care locally through the NHS.

There were some training and supervision systems in place to ensure staff could deliver care in a competent and safe manner. However the systems were not robust and some training was out of date. Some staff supervisions were taking place but were not being recorded.

People’s records were suitably stored but were not always legible or completed consistently. This meant that staff may not have access to all the relevant information about the person, which might affect the safety of the care and treatment people receive.