Bodyvie Medi-Clinic

This service is rated as Inadequate overall. This service was registered in August 2019. This was the first inspection of this service.

The key questions are rated as:

Are services safe? – Inadequate

Are services effective? – Inadequate

Are services caring? – Requires improvement

Are services responsive? – Requires improvement

Are services well-led? – Inadequate

We carried out an announced comprehensive inspection at Bodyvie Medi-Clinic under Section 60 of the Health and Social Care Act 2008 as part our inspection programme.

At this inspection we took a primary care team to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008. This report includes evidence gathered by our team.

Following the inspection, we undertook civil enforcement action, under the Health and Social Care Act 2008, by:

• We urgently suspended some of the provider’s activity using our powers under section 31 of the Health and Social Care Act 2008 which the provider met.

Bodyvie Limited is an independent provider of medical services and offers a full range of private general practice services to self-funding and insured patients.

There is a 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.

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 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Bodyvie Medi-Clinic provides a range of non-surgical cosmetic interventions, for example non-surgical facelift and thread lift treatments, which are not within CQC scope of registration. Therefore, we did not inspect or report on these services

Our key findings were:

• The provider did not have an auditable system in place to enable safe prescribing and patient reviews.
• The provider did not submit evidence of appropriate medical indemnity insurance for all clinical staff who worked at the service.
• The provider did not have a system or policy in place to safely manage patient safety alerts and follow-up patients who may be affected by them.
• The provider did not have a system or policy in place to safely manage recruitment, including disclosure and barring service (DBS) checks.
• The provider could not demonstrate there was oversight of their patient list and relative risk regarding their patient population group.
• The provider did not have a system or policy in place to safely manage emergency medicines and equipment.
• There was no evidence of a system and processes in place regarding safeguarding children and vulnerable adults.
• There was an overall lack of clinical governance and oversight for patient care.
• The provider did not have a system in place to safely manage significant events.
• The provider did not have a system in place to safely manage patient complaints.
• The provider did not have a system in place to drive quality improvement, including clinical audit.
• The provider was unable to demonstrate that all staff had the required training, knowledge and experience to carry out the roles that were undertaken.

We identified regulations that were not being met and the provider must make improvements regarding:

• Care and treatment must be provided in a safe way for service users.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
• There should be regular health and safety risk assessments of the premises and equipment. The findings of the assessments must be acted on without delay if improvements are required.

(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 flooring in the premises area, which is used to provide regulated services, to make improvements and reduce the risk of healthcare acquired infection.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care