Elle Jay Aesthetics Ltd

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We found safety was a top priority, and the clinician who owned the service took all concerns seriously. They investigated all reported incidents to reduce the likelihood of them happening again. The clinician provided people with support and information on their care and treatment. They ensured people had information on living healthier lifestyles. The clinician ensured lessons were learnt to identify and embed good practices. Medicines were managed safely and in a way which met people's needs. The clinic areas were clean, tidy and equipment was well maintained. The clinician wore personal protective equipment where required.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People had positive experiences of using this service. They said the clinician who owned the service was knowledgeable and could explain treatments in detail to them before they decided whether it was right for them.

The clinician who owned the service was committed to keeping a high standard of learning and skills about the treatment they offered. Staff knew how to report incidents which were investigated, and people were informed if this affected their treatment.

The clinician had processes for staff to report incidents, near misses and safety events. There was a system to record and investigate complaints, and when things went wrong, staff apologised and gave people support. Learning from incidents and complaints resulted in changes that improved care for others.

People were confident they would be referred on to other professionals such as their GP if the clinician who owned the service had any concerns about moles or other conditions.

The clinician who owned the service ensured patients were provided with safe and continuous care. They gave examples of how patients had been referred on to their GP or a dermatologist when a need was identified.

We did not receive any feedback from partners, but the clinician who owned the service showed us evidence of the people and organisations they worked with. The score for this quality statement is based on this evidence.

The clinician who owned the service had systems and processes in place for making referrals. The clinician discussed referrals with people receiving treatment, so they knew what to expect.

All staff received safeguarding training for adults and children. The clinician who owned the service took the lead for safeguarding and knew who to contact if they needed to. Staff knew how to recognise coercive behaviours and recognise the signs of domestic abuse.

The clinician who owned the service had a robust system in place for reporting safeguarding to keep people safe from harm. There were several posters in the reception, clinic areas and toilets giving people contact details for organisations that could offer support with domestic abuse and the clinician was keen to ensure people felt the service was a safe place should they need help.

People felt that all risks relating to treatment they received were explained in full. The clinician discussed the risks and gave people time to consider whether they wanted treatment to go ahead.

The clinician gave examples of discussing risks with people and the possible outcomes from treatment. They spent time talking to people to ensure they fully understood the risks and offered advice about alternative to medical interventions when appropriate. Where people were having moles removed this was done using specialist equipment for looking closely at the mole which was removed using a minimally invasive process. The clinician explained to people the risks of this process and sent a photo of the mole off to a dermatologist using a mole mapping application for further review. People were referred to a dermatologist or back to their GP if any concerns were raised.

The clinician who owned the service had policies in place for each medical procedure they offered. This covered potential risks and how to discuss these with patients. They were clear about the reasons for providing the treatment and when this would be refused. Staff were trained in basic life support and anaphylaxis (life-threatening allergic reaction) and emergency care. The clinician had an account with a pathology service and results from this usually come back within 24 hours of a blood sample being sent off. For example, this would be used for diagnosing if someone was lacking in vitamin B12.

The clinician ensured staff worked within a safe environment. They did not see people for appointments out of hours unless they were well known to the service. There were arrangements in place to monitor the safety and upkeep of the premises.

We observed the building was fit for the purpose the service was using it for. People waited in a comfortable waiting room. Clinic rooms were fit for purpose and equipment was properly maintained.

The clinician who owned the service had effective arrangements to monitor the safety and upkeep of the premises. They ensured regular medical and electrical equipment testing took place. Clinic rooms had adequate ventilation to prevent the risk of infection during procedures.

The clinician who owned the service was the only medical aesthetics clinician, People felt the clinician had a high level of knowledge about the treatments they provided. People liked being able to see the clinicians training certificates which were displayed in the reception.

The clinician ensured they kept their training up to date and followed the latest national guidance. All staff in the service received regular training, updates and the opportunity to attend relevant conferences.

The clinician had processes in place for recruitment which included asking for references and completing checks with the Disclosure and Barring Service. These checks provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions. However, the policies and processes for recruitment needed to be more detailed to ensure the correct processes for identification and references were followed. The clinician agreed to make these changes before further recruitment took place.

People had no concerns about the cleanliness of the clinic. They said the clinic rooms were clean, and staff wore gloves and aprons when appropriate to do so.

The clinician who owned the service and staff were trained in infection prevention and control (IPC). Staff told us they understood their roles and responsibilities around IPC.

The premises were visibly clean and suitable personal protective equipment was available. We found systems in place for cleaning of the clinical room and management of clinical waste. Handwashing facilities, hand gel and paper towels were available in the clinic rooms.

The clinician who owned the service had an effective system in place to manage IPC which included a policy and staff had completed IPC training. We saw evidence of regular IPC audits being completed by the clinician. The service had arrangements in place to manage healthcare waste and staff were aware of the action to take in event of sharps or contamination injury. The clinic room and equipment were cleaned between patients using cleaning products.

The clinician who owned the service involved people in reviews of their medicines and helped them understand how to manage their medicines safely. People knew what to do and who to contact if their condition did not improve or they experienced any unexpected symptoms.

The clinician was the only prescriber in the service. They received regular training on medicines management, and felt confident managing the storage, administration and recording of medicines. The clinician managed medicines-related stationery appropriately and securely. They followed protocols to ensure they prescribed all medicines safely, and ensured people received all recommended medicines reviews and monitoring.

The clinician who owned the service managed medicines safely and regularly checked the stock levels and expiry dates for all medicines, including emergency medicines. However, we found an antimicrobial scrub which helps to reduce the spread of viruses and bacteria and some petroleum jelly which was out of date. The clinician removed these while we were onsite. They showed how they disposed of expired or unwanted medicines. The clinician had effective systems to manage and respond to safety alerts and medicine recalls. They followed established processes to ensure people prescribed medicines with specific risks received recommended monitoring. There were suitable processes to follow when dispensing medicines.

The clinician took steps to ensure they prescribed medicines appropriately to optimise care outcomes. There was a programme of regular clinical auditing of prescribing that focused on improving care and treatment.