Archived: Astute Courses Angels Twelve

Updated 2 August 2022

The provider, Astute Courses Ltd is registered with the Care Quality Commission to provide the regulated activities of treatment of disease, disorder, or injury (TDDI), and surgical procedures from two registered locations, including Astute Courses Angels Twelve, 162 Porchester Road, Nottingham, NG3 6LB. Only this site was visited as part of this inspection.

The service is provided from a fully converted building with a medical treatment room and another room used for other non-regulated treatments. The service is centrally located and there is off road parking.

The service is provided by two registered practitioners. Astute Courses Angels Twelve offers clients a range of services including treatment for excessive sweating (hyperhidrosis), PDO surgical thread lifts, removal of minor skin lesions, antihistamine injections and intravenous vitamin infusions. Treatments are provided for adults aged 18 and over with appropriate consent. Clients are offered an initial online or face to face consultation, then attend for a face to face consultation, where the treatment plan is discussed and agreed, and then booked in for the course of treatment. The opening times for the service vary each day, as there are other services provided on site, including beauty treatments and a hair salon.

Further information about the service is available via their website at: www.angelstwelve.com

Before visiting we reviewed a range of information we hold about the service and information which was provided by the service before the inspection.

How we inspected this service

During the inspection:

• we spoke with two clinicians (one of whom was the Registered Manager), and the site manager.
• reviewed key documents which support the governance and delivery of the service.
• made observations about the areas the service was delivered from.
• looked at information the service used to deliver care and treatment plans.

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?

Due to assurances we received from our review of information, we only looked at the safe domain during the inspection.

Updated 2 August 2022

We carried out an announced focused inspection at Astute Courses Angels Twelve on 8 July 2022. Following our review of the information available to us, including information provided by the service, we focused our inspection on the following key question: safe. Due to assurances we received from our review of information, we carried forward the ratings for the following key questions: effective, caring, responsive and well-led from our last inspection in January 2022. Overall, the practice is rated as good. It is rated as good in safe, effective, caring, responsive and well-led.

Following our previous inspection on 14 January 2022, the practice was rated good overall and requires improvement for the key question safe. It was rated good for key questions effective, caring, responsive and well-led.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Astute Courses Angels Twelve on our website at www.cqc.org.uk

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. Astute Courses Angels Twelve provides a range of non-surgical cosmetic interventions which are not within CQC scope of registration. Therefore, we did not inspect or report on these services. Astute Courses Angels Twelve is registered in respect of the provision of the treatment of disease, disorder or injury and surgical procedures, therefore we were only able to inspect treatments relating to medical conditions which include treatment for excessive sweating (hyperhidrosis), PDO surgical thread lifts (a type of non-surgical face lift), removal of minor skin lesions, antihistamine injections and intravenous vitamin infusions.

Dr Vorodykhina 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.

Our key findings were:

• The service was offered on a private, fee paying basis only and was accessible to clients who chose to use it. Clients were able to access care and treatment from the clinic within an appropriate timescale for their needs.
• The service had good facilities and was well equipped to treat clients and meet their needs.
• Systems, processes and records had been established to seek consent and to offer coordinated and person-centred care. However, we noted that consultations for treatments such as antihistamine injections and vitamin infusions were not fully documented.
• The clinicians maintained the necessary skills and competence to support clients’ needs.
• The provider and staff team demonstrated a positive culture and a commitment to the delivery of person-centred care and treatment.
• The provider had made improvements to the recruitment procedures and had completed risk assessments to ensure the safety of the premises and health and safety of clients and staff.

The areas where the provider should make improvements are:

• Fully document all consultations, including those for treatments such as antihistamine injections and vitamin infusions.
• Display the fire procedure in appropriate areas throughout the building.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care