2 August 2023
During a routine inspection
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 Beechwood Medical Ltd (T/A Freyja Medical) as part of our inspection programme, and because they have not been inspected and rated since registration in 2021.
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. Beechwood Medical Ltd (T/A Freyja Medical) provides a range of non-surgical cosmetic interventions, which are not within CQC scope of registration. Therefore, we did not inspect nor report on these services.
One of the providers 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.
Our key findings were:
- Patients received care that was delivered safely and effectively.
- Clinicians assessed patients according to appropriate guidance, legislation and standards and delivered care and treatment in line with current evidence-based guidance.
- There were enough staff who were suitably qualified and trained.
- Patients were treated with respect and staff were kind, caring and involved them in decisions about their care.
- Patients received detailed and clear information about their proposed treatment which enabled them to make an informed decision. This included costs, risks and benefits of treatment.
- Pre-operative and post-operative care and advice was clear.
- Patients were offered appointments and treatment in a timely manner to suit their needs.
- The service had good facilities and was well equipped to treat patients and meet their needs.
- Information about services and how to complain was available and easy to understand.
- There was an effective governance framework in place in order to gain feedback and to assess, monitor and improve the quality of the services provided.
- The provider was aware of the requirements of the Duty of Candour.
The area where the provider should make improvement is:
- Implement a comprehensive infection prevention and control (IPC) audit tool and regularly carry out full IPC audits.
Dr Sean O'Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services