Mandy Garner Dermaesthetics

Updated 29 December 2022

Mandy Garner Dermaesthetics is registered with the Care Quality Commission to provide the regulated activities of treatment of disease, disorder, or injury (TDDI), from one registered location at the following address:

• Mandy Garner Dermaesthetics , 2 Southorpe Court, Elm Road, Driffield, YO25 6YA

We visited this location as part of our inspection.

Mandy Garner Dermaesthetics is an independent outpatient clinic providing private consultations, medical assessments, and the prescribing of medicines relating to treatments for hyperhidrosis and the national medical weight loss programme. The service has one clinician who is also the nominated CQC provider. The service sees approximately 70 patients per month and offers treatments to people over the age of 18.

The provider also carries out services which do not fall under the regulation of CQC and were therefore not considered during this inspection. They include for example dermaplaning, skin peels, dermal fillers, and wrinkle reduction treatments.

The service is open for consultations weekly:

Monday, Thursdays and Fridays, weekends and late evenings by arrangement.

The service is provided in a fully adapted outbuilding with a medical treatment and waiting room. There is a toilet on the ground floor which is fully adapted for clients who have mobility issues and the service have a portable ramp which can be used for wheelchair access.

Before visiting we reviewed a range of information we hold about the service and information which was provided by the service before the inspection.

During the inspection:

• we spoke with the provider.
• reviewed key documents which support the governance and delivery of the service.
• made observations about the areas the service was delivered from.
• reviewed a sample of treatment records.
• looked at information the service used to deliver care and treatment plans.

How we inspected this service

To get to the heart of patients’ experiences of care and treatment, we always ask the following five 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 29 December 2022

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 Mandy Garner Dermaesthetics as part of our inspection programme on 23 November 2022. This is Mandy Garner Dermaesthetics first inspection. This included a visit to the registered location which is the head office based at 2 Southorpe Court, Elm Road, Driffield, YO25 6YA.

Mandy Garner Dermaesthetics provides aesthetic treatments such as the diagnosis and treatment of Hyperhidrosis, and medical weight loss treatment.

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. Mandy Garner Dermaesthetics provides a range of non-surgical cosmetic interventions, for example dermal filers which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

Mandy Garner 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.

At the time of the inspection there were no patients attending or receiving regulated services. Following our inspection visit we spoke with 4 patients who used the services. All 4 patients were extremely complementary and told us that the provider was very professional and knowledgeable. They also told us that the provider kept fully up to date with best practice and followed their treatment plans up consistently. During our visit we looked at 25 patient feedback records that had been received since June 2022. All were satisfied and commented that they were given treatment information as expected as well as additional support information.

Our key findings were:

• There were systems and processes in place to ensure that care and treatment was delivered safely.
• The provider was proactive in empowering patients, and supporting them to manage their own health and maximise their independence.
• The provider had received very positive feedback from patients about the care they had received.
• Access to care was timely and at the choice of the patient.
• There was a focus on continuous learning and improvement.
• Risks to patients were assessed, monitored and managed to mitigate risk.
• The provider had systems to keep up to date with current evidence-based practice.
• The provider obtained consent to care and treatment in line with legislation and guidance.
• Patients were involved in decisions about care and treatment and supported to do this by the provider who treated them with kindness, respect and compassion.
• Patients were able to access care and treatment from the service within an appropriate timescale for their needs. The provider ensured patients were at the centre of all decision making regarding their appointments.

We saw the following outstanding practice:

• The provider took responsibility to promote the health and well-being of their patients. There was a holistic approach that ensured their immediate and ongoing needs were fully assessed. including their emotional, social, psychological and physical presentation
• Feedback from people who used the service was consistently positive about the way the provider treated people. Since June 2022 the service had received 25 reviews directly from patients that had attended the service for treatment or treatment advice and all were very positive and complementary. We saw that the provider had received 12 five-star reviews on an internet search engine. However, we could not determine if all of these related to the regulated side of the business. We also saw that the prover had received 24 five-star reviews on a social media platform. However, we could not determine if all of these related to the regulated side of the business.

The areas where the provider should make improvements are:

• Continue with their plans to introduce a system of clinical audit, including in relation to pain relief for patients on the National Weight Management Weight Loss Programme.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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