The Clinic by Dr Mayoni

Updated 13 October 2023

The Clinic by Dr Mayoni is a private doctor and consultation service. Dr Lankika Mayoni Byrne provides consultation, examination and treatments in aesthetic medicine and treatment of skin diseases and disorders to adults, at 43 Honor Oak Park, London SE23 1DZ.

The Clinic by Dr Mayoni registered with the Care Quality Commission (CQC) in August 2020 and provides a small range of treatments for people aged over 18 that come under scope of regulation of CQC. These treatments are given via pre-bookable appointments. Patients attend for an initial consultation, where a treatment plan is discussed and agreed, and then they are booked in for treatment at a later date. Only specific treatments are regulated by CQC, and they include treatment for excessive sweating (hyperhidrosis) and non-surgical treatment for a range of skin conditions, including acne, rosacea and psoriasis.

The service is located on the ground floor and has two treatment rooms. Services are available to any fee-paying patient. The service is open between 10am and 6pm Tuesday and Wednesdays and is open 10am to 8pm on Thursday and open between 9.45am and 6pm on Friday. The service is closed on Mondays and is not open at the weekend. This service is not required to offer an out of hours service. Patients who need medical assistance out of operating hours can access out of hours support via the service and this is detailed in patient literature supplied by the service.

Services are available to people on a pre-bookable appointment basis. The service director is a registered doctor. Two aesthetic therapists work at the service. Support with the management of the service is provided by a clinic coordinator. The service uses an external company who manage appointments for service users.

The location is registered with the CQC to provide the following regulated activities, treatment of disease, disorder or injury and diagnostic and screening procedures. At this inspection, the service was not providing any minor surgery or services in slimming clinics.

The service website is https://drmayoniskinfit.co.uk/

How we inspected this service

We carried out this inspection on 20 July 2023. Before visiting the location, we looked at a range of information we hold about the service. During our visit, we interviewed staff, reviewed documents and clinical records, and made observations relating to the service and the location it was delivered from. We were shown examples of patient feedback which the provider monitored on an ongoing basis. We did not speak to patients on the day of the site visit.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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 13 October 2023

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

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 The Clinic by Dr Mayoni as part of our inspection programme of a new provider registration for the service. This was a first rated inspection for the service that was registered with the Care Quality Commission (CQC) in August 2020. During this inspection we inspected the safe, effective, caring, responsive and well-led key questions.

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 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The Clinic by Dr Mayoni provides a range of non-surgical cosmetic interventions, for example dermal fillers, lip fillers and Botox injections which are not within the CQC scope of registration. Therefore, we did not inspect or report on these services.

The service director 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.

Our key findings were:

• The premises were clean and well maintained. There were effective systems in place to reduce the risk and spread of infection.
• There was evidence safety risks were assessed and well-managed; the service had established an effective system of health and safety checks.
• The service had developed comprehensive policies which staff had reviewed to ensure the information was up to date and relevant.
• There were safe procedures for managing medical emergencies including access to emergency medicines and equipment.
• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence based guidelines.
• The service responded to client feedback and their needs and improved their services.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• There was evidence of systems to support good governance and management.

The areas where the provider should make improvements are:

• Implement a regular programme of clinical audit to monitor quality and identify areas for improvement.
• Consider obtaining a hearing loop and make available large print information.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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