Modality Medical Spa - Birmingham

We carried out an announced comprehensive inspection of Modality Medical Spa - Birmingham in June 2019, the overall rating was good. While no breaches of legal requirements were found, the service was rated as requires improvement for providing safe services. This was because we identified some areas where the provider should make improvements.

We carried out a focussed desk-based inspection of Modality Medical Spa - Birmingham on 9 October 2019 to check that the provider had made improvements in line with our recommendations. This report only covers our findings in relation to those requirements.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Modality Medical Spa - Birmingham on our website at www.cqc.org.uk.

Our key findings across all the areas we inspected were as follows:

• Since our comprehensive inspection in June 2019, the provider had reviewed and improved their processes for the management of fire risk.
• The provider had reviewed their internal health and safety risk assessment to ensure it was specific to this service and that it adequately assessed and managed fire risks.
• The provider had purchased suitable equipment to safely evacuate people with mobility difficulties in the event of a fire and provided staff with training on its use.
• Staff had completed appropriate fire training.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

This service is rated as Good overall. (This service was previously inspected on 18 September 2018).

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Modality Medical Spa – Birmingham on 25 June 2019 as part of our inspection programme.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by a medical practitioner for minor surgical procedures. At Modality Medical Spa the aesthetic cosmetic treatments that are also provided are exempt by law from CQC regulation. Therefore, we were only able to inspect the treatment for minor surgery but not the aesthetic cosmetic services.

The service had a registered manager since August 2013. 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.

During the inspection 12 people provided feedback about the service.

Our key findings were:

• People using the service were positive about the way staff treated them and the overall service they received at the Spa.
• The provider had responded appropriately to the concerns we had raised in our previous inspection and had improved processes such as checking patient identification. The provider had also improved their audit programme to include private patients, so they could monitor post-operative complication rates in private and NHS patients.
• The provider monitored performance and quality and took action if they identified any concerns.
• The Spa had effective communication processes to keep all staff updated with relevant information including learning from significant events and complaints.
• We found people were able to access the service in a timely manner. Data the provider shared with us showed the service was meeting its targets for triage and waiting times.
• Whilst the provider had completed a range of risk assessments to ensure staff and people using the service were kept safe. The service did not have access to a recent fire risk assessment and staff were unsure how they would assist patients with mobility difficulties in the event of a fire. Following the inspection, the provider sent us evidence to show they had responded to our concerns and put actions into place to mitigate risks.

The areas where the provider should make improvements are:

• The provider should continue to review their fire safety training arrangements for the Spa and continue to take action to mitigate risks.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care