Cosderm at Dr Nylas

Updated 25 April 2023

Cosderm at Dr Nylas is an independent health service providing dermatological appointments to fee-paying patients. They also provide weight loss services including the prescribing of medication for the purposes of weight reduction. The service is available to both adults and children with mostly adult patients visiting the service. They are located on the basement floor of 32 Dover Street, London W1S 4NE.

The service consists of a lead consultant (who is the registered manager), a personal assistant, a receptionist and a self-employed cosmetic therapist.

The service offers pre-bookable face-to-face and virtual appointments and is open Monday-Saturday between 10am-9pm.

How we inspected this service

We gathered and reviewed pre-inspection information before inspecting the service; this included their policies, guidelines and formal patient feedback. On the day of the inspection, we spoke with the registered manager and an administrative staff member. We reviewed patient records, observed infection prevention and control and emergency medication measures and reviewed recruitment and training documents.

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 25 April 2023

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 Cosderm at Dr Nylas as part of our inspection programme.

Cosderm at Dr Nylas is an independent health service providing dermatological appointments to fee-paying patients. They also provide weight loss services including the prescribing of medication for the purposes of weight reduction.

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. Cosderm at Dr Nylas provides a range of non-surgical cosmetic interventions, for example botulinum toxin treatments which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The consultant 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:

• The provider had clear systems to keep people safe and safeguarded from abuse.
• The service assessed needs and delivered care in line with current legislation, standards, and evidence-based guidelines.
• There was a visible person-centred culture and staff were motivated to offer care that was kind and promoted people’s dignity.
• The service was tailored to meet patients’ needs.
• Leaders had the skills to deliver high-quality care.

The areas where the provider should make improvements are:

• Introduce a formal system to document emergency equipment is checked on a regular basis.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

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