Harley Health Village is operated by Linia Ltd. The hospital spread over the lower ground and ground floor of this multi-storey building has four recovery/overnight beds. Facilities include two operating theatres, consulting rooms, outpatient rooms and a reception area. There is in addition a training/meeting room on the second floor.

The hospital provides cosmetic surgery for adult private patients. We inspected cosmetic surgery services.

We inspected this service using our comprehensive inspection methodology, and carried out the inspection on 17 January 2017.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Services we do not rate

We regulate cosmetic surgery service but we do not currently have a legal duty to rate them when they are provided as a single specialty service. We highlight good practice and issues that service providers need to improve, and take regulatory action as necessary.

Our key findings were as follows:

• There were systems to keep people safe and to learn from adverse events or incidents.
• The environment was visibly clean and well maintained, and there were measures to prevent and control the spread of infection.
• There were sufficient numbers of suitably qualified, skilled and experienced staff to meet patients’ needs, and staff had access to training and development, which ensured they were competent to do their jobs.
• There were arrangements to ensure patients had access to suitable refreshments, including drinks.
• Treatment and care was delivered in line with national guidance and the outcomes for patients were good.
• Patient consent for treatment and care met legal requirements and national guidance.
• Patients could access care in a timely way, and had choices regarding their treatment day.
• Staff ensured patients privacy and the dignity of patients was upheld.
• The leadership team were visible and appropriate governance arrangements meant the service continually reviewed the quality of services provided.

However, we also found the following issue that the service provider needs to improve:

• We observed a member of the theatre staff undertake a procedure without wearing the required protective goggles. This was contrary to the hospital’s infection, prevention and control policy and national guidance.

Following this inspection, we told the provider that it should make improvements, even though a regulation had not been breached. Details are at the end of the report.

Professor Edward Baker

Chief Inspector of Hospitals