This clinic is rated as
Good
overall. (This is the providers first inspection following registration with the CQC on 14 June 2019.
The key questions are rated as:
Are clinics safe? – Good
Are clinics effective? – Good
Are clinics caring? – Good
Are clinics responsive? – Good
Are clinics well-led? – Requires improvement
We carried out an announced comprehensive inspection at Mr Jan Jiri Stanek, Flat 19
Milford House, 7 Queen Anne Street, London, W1G 8HN on the 28 October 2021. The provider was registered for the regulated activity of treatment of disease, disorder or injury on 14 June 2019. This was the first announced comprehensive inspection of the clinic following CQC registration.
Mr Jan Jiri Stanek, provided is a private cosmetic clinic offering a range of cosmetic surgery and non-invasive treatments for adult patients. The clinic does not have any overnight beds; patients that required surgery or overnight beds were admitted to a private hospital.
The clinic was registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the clinics it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and clinics and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Dr Jan Stanek provides a range of non-surgical cosmetic interventions which are not within CQC scope of registration. For example, body contouring, dermal fillers, Botox (with the exception of treatment for a medical conditions), chemical peels, skin laser. Therefore, we did not inspect or report on these clinics.
The staff explained the clinic sought feedback on the quality of clinical care patients received by providing questionnaires following appointments and through the clinic’s website. The provider submitted seven completed questionnaires which were all positive about the clinic and the care and treatment they had received. We saw online feedback following registration differed, was one website had four reviews which were positive about the care and treatment, however another website had two negative reviews.
Our key findings were:
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The clinic organised and delivered services to meet patients’ needs.
- Patients could access care and treatment in a timely way.
- Following the inspection, the provider had implemented risk assessments, and staff had completed training. However, this meant the clinic was unable to demonstrate that these actions were embedded fully or that they would be sustained.
The areas where the provider must make improvements as they are in breach of regulations are:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
- Review the Intercollegiate document on safeguarding guidance for adults and children to check all staff have completed the required training.
- Staff should consider the benefits to the organisation and patients of recording their results when they take a COVID 19 lateral flow test.
- Adhere to the fire safety laws in full.
- Adhere to The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance in regard to staff training.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Clinics and Integrated Care