Archived: Caroline Street Aesthetics

Updated 13 February 2023

• CS Aesthetics Ltd is a limited company with the registered provider also being the company director and the CQC registered manager.
• Address: Old Vicarage, Clay Lane, Beaminster, Dorset, DT8 3BU
• CS Aesthetics Ltd is registered to carry on two regulated activities. Treatment of disease disorder and injury and surgical procedures.
• Caroline Street Aesthetics was first registered with CQC in 2021 to provide services to patients over the age of 18. Children are not treated at the service and do not attend the premises.
• The registered manager works full time at the service as a health care professional and employs a further healthcare professional and two beauty therapist staff and two administrative staff.
• Caroline Street Aesthetics is in a rural setting near to the town of Beaminster. The service is provided in conjunction with beauty services in shared accommodation called The Beauty Room. There is parking and disabled access available. The service is open from Monday to Saturday between 9am and 5pm.

How we inspected this service

Before the inspection, we asked the provider to send us information about the service. This was reviewed prior to the site visit. We also reviewed information held by CQC on our internal systems.

During the inspection we spoke with the provider, reviewed documentation and records including clinical records. We made observations of the premises, facilities and the service provided.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

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

Updated 13 February 2023

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Caroline Street Aesthetics as part of our inspection programme. The service was registered with CQC in August 2021 and has not been previously inspected.

Caroline Street Aesthetics is a location and the registered provider is CS Aesthetics Ltd. The service offers a range of non-surgical medical aesthetic treatments for men and women over the age of 18 years.

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. Caroline Street Aesthetics provides a range of non-surgical cosmetic interventions, for example botulinum toxin injections and dermal fillers which are not within CQC scope of registration therefore, we did not inspect or report on these services. The service offers two regulated activities:

• Treatment of disease disorder and injury: because they see patients and prescribe medication to treat, hyperhidrosis (excessive sweating), and skin disease.
• Surgical procedures: because they will provide Polydioxanone (PDO) thread lifts.

The registered provider (who is the registered owner of the business) 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 the inspection we looked at patient feedback via an electronic survey system which was available to patients who had been treated at the service. We also looked at thank you cards patients had sentto the service. Feedback was positive and complementary about the staff and the services provided.

Our key findings were:

• The service had clearly embedded systems, processes and operating procedures to keep patients safe, to manage a safe environment, incidents and significant events and to safeguard patients from abuse. Some recruitment procedures needed further development to ensure all checks are completed.

• The service monitored the effectiveness and appropriateness of the care provided. It ensured that care and treatment was delivered according to evidence based guidelines and that staff had the skills, knowledge and training to provide an effective service.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• The service organised and delivered services to meet patient’s needs. Patients were well informed about aspects of the service provided. The service took comments, complaints and concerns seriously and responded to them appropriately.

• The manager had the capacity and skills to deliver high-quality sustainable care. There were clear responsibilities, roles and systems of accountability to support good governance and management. There were effective processes for managing risks, issues and performance. There were systems and processes for learning, continuous improvement and innovation.

The areas where the provider should make improvements are:

• The provider should ensure all recruitment files contain all the necessary completed pre-employment references.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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