29 September 2020
During an inspection looking at part of the service
This service is rated as Good overall. Previous inspection 11 June 2019 – Good overall and Requires improvement for the safe key question.
The key questions are rated as:
Are services safe? – Good
We carried out an announced comprehensive inspection at Dr Frances Prenna Jones Clinic Limited on 11 June 2019. The overall rating for the service was good, the service was rated requires improvement for providing Safe services. The full comprehensive report on the 11 June 2019 inspection can be found by selecting the ‘all reports’ link for Dr Frances Prenna Jones
Clinic Limited on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 29 September 2020 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 11 June 2019. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.
Dr Frances Prenna Jones Clinic Limited provides cosmetic surgery to adult patients. 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 general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Dr Frances Prenna Jones Clinic Limited, the cosmetic services provided include Botox and skin peels. These types of arrangements are exempt by law from CQC regulation.
The sole doctor 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.
We are mindful of the impact of COVID-19 pandemic on our regulatory function. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
Our key findings were:
- The provider had put in place systems to monitor the oxygen and emergency equipment.
- The defibrillator had been calibrated and a programme of regular checks had been implemented.
- The service had carried out a risk assessment to determine the range of emergency medicines held.
- The pulse oximeter had been calibrated and a programme of regular checks had been implemented.
- Signed cleaning checklists and schedules had been established.
- The service had completed a Legionella risk assessment.
The areas where the provider should make improvements are:
- Review the process regarding Legionella risk assessments and ensure that a management plan has been established by a suitably competent person.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care