We carried out an announced comprehensive inspection on 20 July 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.

Rosewood clinic is an independent healthcare provider. The clinic provides a private GP service alongside an aesthetic cosmetic service. The private GP services are provided to both children and adults.

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. At Rosewood clinic the aesthetic cosmetic treatments are exempt by law from CQC regulation. Therefore, we were only able to inspect GP services but not the facial aesthetic services.

Dr Simon Crawley 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.

Twenty-four people provided feedback about the service both via the CQC website and comment cards all of which was positive about the standard of care they received. The service was described as excellent, professional, helpful and caring.

Our key findings were:

• Risks to patients were well managed. For example, there were effective systems in place to reduce the risk and spread of infection.

• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based research or guidelines.

• Staff maintained the necessary skills and competence to support the needs of patients.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Systems were in place to deal with medical emergencies and staff were trained in basic life support. However, the provider did not have a defibrillator.

• Information about services and how to complain was available and easy to understand.

• The treatment room was well organised and equipped, with good light and ventilation.

• The practice was proactive in seeking patient feedback and identifying and solving concerns.

• The culture of the service encouraged candour, openness and honesty.