NR Aesthetics and Skin Ltd Also known as NR Aesthetics & Skin

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

The service had a proactive and positive culture of safety based on openness and honesty. People were protected and kept safe. The clinician understood and managed risks well. The facilities and equipment met the needs of the people, were clean and well-maintained and any risks mitigated. The clinician managed medicines safely and in a way which met people's needs. They ensured medicines and treatments were administered safely and wore personal protective equipment where required. The clinician had appropriate skills, qualifications and experience to deliver the service and continuous training and development was a top priority.

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 from people who used the service was positive. People reported that the clinician was knowledgeable in all aspects of the treatment they provided and gave them clear information.The clinician who owned the service demonstrated a strong focus on learning. They attended and presented at national conferences such as at events held by the British Association of Medical Aesthetic Nurses (BAMAN) as a Regional Leader. The service had a proactive and positive culture of safety, based on openness and honesty. Policies and procedures were in place for identifying and reporting incidents and safety events. As the service was provided by a lone clinician, they had linked with another similar service to share lessons learned and embed good practice.

People told us they were confident they would be referred onto appropriate services if this was required after attending NR Aesthetics. This was discussed with service users as part of the consultation process. The clinician who owned the service ensured service users were provided with safe, continuous care. They referred people to other professionals such as their NHS GP if they had a medical condition or required a different kind of treatment to those offered in the clinic.

Systems and processes were in place to ensure any referrals made for service users were actioned in a timely way.

The service had appropriate policies in place for reporting safeguarding to keep people safe from harm and knew who to contact if they needed further guidance or to make a referral. The clinician had undertaken appropriate training for safeguarding adults and children. In addition to safeguarding training, the clinician understood mental health conditions including body dysmorphia, where people worry about flaws in their appearance that others cannot see. The clinician told us they would refuse treatment with the best interests of the service user as necessary. The service treated adults only and they requested confirmation of age for anyone who appeared to be under the age of 18 before providing treatment. The clinician was passionate about service user education and told us consultations also included education about treatments which are not regulated within the aesthetics industry, to keep people safe.

People said the risks of the procedure they were having was fully explained before it went ahead. The clinician gave examples of discussing risks with people and the possible outcomes from treatment. They were clear about the reasons for providing the treatment and when treatment would be refused. People were given time to consider if they wanted the treatment to go ahead. Following treatment, people were given comprehensive aftercare information and the clinician provided follow up appointments where required. The clinician was trained in basic life support and the clinic was equipped to manage medical emergencies.

The clinician had the annex next to their home converted into a clinical area. It was visibly clean and tidy with a professional and welcoming layout for people using the service. The clinician made sure regular medical and electrical equipment testing was undertaken. Effective arrangements were in place to monitor the safety and upkeep of the premises. There was a business continuity plan in place which was monitored and reviewed.

We received positive feedback from service users about the care and treatment they received from the clinician. We saw evidence that appropriate training had been completed by the clinician and a number of certificates were also on display in the clinic for service users to review. It was evident from discussion with the clinician that they were conscientious about keeping up to date with continued professional development and aesthetic industry developments for treatments. The clinician was the only person working in the service however they had developed appropriate policies for staff training and staff recruitment if additional staff were recruited in the future.

People had no concerns about the cleanliness of the clinic. They said the clinic was clean and the clinician wore gloves when appropriate to do so. The clinician who was trained in infection prevention and control (IPC) and had developed an appropriate policy which was in line with current relevant national guidance. We observed the premises to be visibly clean and tidy and the clinician was following IPC guidance. The clinic had appropriate personal protective equipment (PPE) and hand gel available. Processes were in place for the removal and collection of clinical waste and cleaning schedules were established and followed.

People were fully informed about the treatment they were receiving and the medicines being used. The clinician managed medicines well, only using approved pharmaceutical products. They were knowledgeable about the different types of medicines being used. These medicines were stored safely and stock levels and expiry dates for all medicines, including emergency medicines, were regularly checked alongside fridge temperatures. The clinician knew what procedures to follow if an issue was found such as an out-of-date item. When a medicine was used, the batch number and dose were recorded in the patient notes. Prescriptions were issued electronically and sent straight to the pharmacy to be dispensed. The clinician had effective systems to manage and respond to safety alerts and medicine recalls.