The Medika Clinic

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 looked for evidence that people were protected from abuse and avoidable harm.

This is the first inspection for this service since its registration with CQC in 2022. This key question has been rated as Good.

We found clear and well-understood processes ensured staff acted to keep people safe.

Managers investigated all reported incidents to reduce the likelihood of them happening again. Learning was shared with staff and systems and processes were reviewed and developed to improve services.

Consent to procedures was well managed, people engaged in discussions about their choice of treatment and were given the opportunity to reconsider after their initial consultation.

There were sufficient staff, with relevant training to promote safety and ensure people’s needs were met.

The environment and equipment were correctly maintained to promote safety.

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.

Feedback and discussions with the managers and staff indicated that all events and changes were shared with all staff. The Medika Clinic team discussed each client at the beginning and end of each session. This included highlighting, reviewing and documenting where improvements were needed. We observed an open culture at the clinic. Staff stated openness was an essential element for keeping people safe and spearheading continual improvements in outcomes.

The provider had processes for staff to report incidents, near misses and safety events. There was a system to record and investigate complaints, and if things went wrong, staff would apologise and give people the support they needed. Processes meant learning from incidents and complaints would result in changes and improved care for others.

Learning from feedback from all sources and outcomes highlighted in aesthetic medicine publications, was shared with staff and we observed changes made as a result of outcomes from various sources. Records confirmed action was taken to ensure staff were trained and supervised to routinely follow all processes, including when these were updated.

The service collaborated with people to establish and maintain safe systems of care, in which safety was managed or monitored. There were robust processes in place to register and monitor what treatments people had received. The services policy data protection policy indicated information would be shared with other authorities if legally obliged or with the patients permission.

The Medika Clinic had clear processes in place which were understood and followed by staff to safeguard people, who used the service, from abuse. The safeguarding policy aligned with the local authority policy, and also included instructions for when a person came from abroad or did not live locally. Staff described the questions asked to ensure that signs and symptoms of concern were investigated. All staff had completed safeguarding level 3 training.

The service collaborated with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Processes in place promoted people’s involvement in their plans of care. Robust processes participated in the initial assessments which included recording people’s physical, psychological, lifestyle and other personal circumstances.

Information was also available on-line and also in leaflet form that provided detailed pre and post care for each procedure.

Aftercare included people being contacted post-procedure so they could inform the clinic if they had concerns at that time.

The assessment process also included a cooling-off period between the assessment and the procedure being completed.



Feedback from CQC Give Feedback on Care webforms confirmed processes were effective because people told us they felt fully involved and informed when planning their aesthetic and energising treatment plans.

The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Processes were in place to detect and control potential risks in the care environment at The Medika Clinic.

Policies and action plans identified equipment that needed to be calibrated and maintained. Records confirmed that all maintenance was up to date. We observed that equipment which did not operate as expected was replaced.

Safety checks such as fire alarm tests and evacuations were managed by the building management company and records confirmed that The Medika Clinic staff were fully informed and knew what actions to take if the clinic needed to be evacuated. Fire safety information was on display in the clinic.

Leaders were proactive in meeting recommendations from monitoring reports, for example, the 2024 legionella water safety report made recommendations for improvement and the provider was able to confirm the building management company had ensured these recommendations had been followed up.

The leader ensured staff completed the appropriate training for those conducting the aesthetic procedures carried out at The Medika Clinic. Feedback from people who used the service confirmed they were impressed with the level of skill shown by staff in completing these procedures.

Staff were employed using formal processes including completion of disclosure and barring service (DBS) checks. Staff were appropriately appraised and supervised to ensure they applied new learning and were competent in their roles.

Regular meetings ensured the team worked closely together to provide a safe and effective service.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

The leaders took robust steps to assess and manage the risk of infection. Consulting rooms were cleaned after each consultation, rooms and equipment were labelled when cleaned.

There was a cleaning schedule and checklist, which was audited and monitored for compliance. Staff were observed to ensure they completed tasks free from infection.

The leaders ensured sufficient personal protective equipment (PPE) was available and records indicated a regular supply was fully available to staff.

Clinical waste was stored and collected by an established clinical waste company. The reports confirmed boxes for used sharp instruments such as hypodermic needles and other waste was safely secured and packaged for collection.

The provider had effective systems to manage and respond to safety alerts and updates about the use of aesthetic medicines. Staff followed established processes to ensure people with specific risks were identified and provided with recommended advice. Staff said they received regular training on managing the medicines used at The Medika Clinic.

Staff knew where emergency medicines were stored and how to access these when required. Leaders confirmed that all medicines were purchased from a reputable specialist pharmacy and medicines were ordered specific to each patient.

To reduce the risk of fraud and error, pharmacy accounts were biometric, and password protected.

Premixed intravenous vitamins were administered according to best practice guidance, medicines were not concocted at The Medika Clinic.

We saw that staff managed medicines safely and regularly checked the stock levels and expiry dates for emergency medicines. The leadership team was responsive to ideas about improving the management of topical medicines.