Sreedhar Jyothi clinic, Central Surgery

Updated 18 January 2023

Dr Sreedhar Babu Jyothi is the registered provider providing the regulated activity surgical procedures from the location

Sreedhar Jyothi clinic, Central Surgery
King Street

Barton-upon-Humber

DN18 5ER

The services provided are minor eye surgery to remove excess skin from upper and lower eye lids (blepharoplasty) and PDO thread lifts. The service is only provided to adults over the age of 18 years on a private fee-paying basis.

The service is accessed via self-referral and appointments are provided on an as required basis and booked through the provider.

The provider employs an assistant to provide chaperone services on an ad hoc basis. Reception staff are provided by the landlord as part of a service level agreement.

How we inspected this service

We conducted a site visit at Sreedhar Jyothi clinic, Central surgery and spoke with the provider.

During the inspection we spoke with the provider, one member of staff and one person who had used the service. We also reviewed patient feedback and provider policies, procedures and documents.

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 18 January 2023

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Choose a rating

We carried out an announced comprehensive inspection at Sreedhar Jyothi clinic, Central surgery under the provider registration of Dr Sreedhar Babu Jyothi as part of our inspection programme as this was a newly registered provider.

The service provides aesthetic procedures which include minor surgical procedures around the eyes and PDO thread lifts from a room leased from an NHS GP practice known as Central Surgery. As the registered provider for the service, Dr Sreedhar Babu Jyothi, provides treatments privately to fee paying clients. The registered provider has a 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 didn’t always provide care in a way that kept patients safe and protected them from avoidable harm as systems for recruitment and oversight of health and safety matters was not effective.
• Patients received effective care and treatment that met their needs. The provider had not assured themselves staff had received the appropriate training for their role as receptionist or chaperone.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care but there was a lack of management oversight relating to risk management.

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:

• Take action to improve activity to monitor and improve the quality of the service.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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