We carried out an announced comprehensive inspection of Holmedale Health

(Dermashine Healthcare Ltd) on 10 July 2018 to ask the service provider the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

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 service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Services included the provision of advice or treatment by a medical practitioner, including the prescribing of medicines, healthcare screening and minor surgery. The aesthetic cosmetic treatments that are also provided are exempt by law from CQC regulation. Therefore, we were only able to inspect the provision of advice and treatment but not the aesthetic cosmetic services.

We received 32 Care Quality Commission comment cards. These were positive regarding the care delivered and the caring attitude of the provider. Many stated that the service was professional, and that the provider took the time to explain the process to them. They found the provider friendly and would recommend the service to others.

Our key findings were:

• The service was offered on a private, fee paying basis only and was accessible to people who chose to use it.
• Procedures were safely managed and there were effective levels of patient support and aftercare advice.
• The service had systems in place to identify, investigate and learn from incidents relating to the safety of patients and staff members.
• There were systems, processes and practices in place to safeguard patients from abuse.
• Information for service users was comprehensive and accessible. Staff had the relevant skills, knowledge and experience to deliver the care and treatment offered by the service.
• The clinic had processes in place to securely share relevant information with others such as the patient’s GP and when required, safeguarding bodies and private healthcare facilities. The service encouraged and valued feedback from service users via in-house surveys and the website.

There were areas where the provider should make improvements:

• Review governance processes so they are established and maintained to evidence the systems and processes followed. For example, medicine checks, cleaning processes and the follow up and monitoring processes used to monitor the quality of the minor surgery service.
• Review the process and policy for the treatment of and confirmation of the identity of parents before performing a procedure on a minor (child or infant)
• Review systems to ensure that any new clinical equipment owned by the provider will be checked regularly to ensure it has been calibrated where required.
• Review systems to demonstrate that requests have been sought to contact the NHS GP where appropriate.