We carried out an announced comprehensive inspection on 4 June 2018 to ask the service 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 regulations.

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.

The provider Juvea Medical Limited has one location registered as Juvea Medical & Aesthetics located in Harley Street in London and provides a range of cosmetic skin treatments to adults on a private basis.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the provision of advice or treatment by, or under the supervision of, a medical practitioner, including the prescribing of medicines.

The doctor 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.

Seven patients provided feedback about the service. All the comments we received were positive about the service, for example describing the doctors as friendly, caring and informative.

Our key findings were:

• The provider had systems in place to protect people from avoidable harm and abuse.

• The provider had systems in place to record, monitor, analyse or share learning from significant events.

• The service had arrangements in place to respond to medical emergencies.

• There were arrangements in place for the management of medicines.

• There was a clear vision to provide a personalised, high quality service.

• The patient feedback we received in the course of the inspection indicated that patients were satisfied with the service they received.

• Information about how to complain was available. The provider had not received any complaints about the service in the last year.

In this inspection we looked at the treatments provided for medical conditions and the way that the service was managed in general. The service had a website which featured information about the services they offered as well as details about the treatments themselves. We spoke to one person using the service and looked at recent feedback from people using the service. In the comments section of the feedback form they described staff as "knowledgeable" and said they were "able to answer any questions". In the most recent feedback people described staff as "polite", "friendly" and "professional".

Before people received any treatments relevant medical details were taken. Follow-up appointments were arranged at the service. There was a procedure in place for people to contact staff at the service out of hours. In the recent feedback 94 out of 100 people said they were "very satisfied" with the quality of products and services.

Staff at the service had been trained in safeguarding vulnerable adults, knew how to spot signs of possible abuse and how to report those concerns (including to the local authority).

There was a process in place for all staff to undergo annual appraisals. All staff underwent annual training in topics relevant to the work of the clinic and the treatments they provided.

The provider had an effective system to regularly assess and monitor the quality of service that people receive.