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London Hair Transplant Clinic

Type Independent Healthcare Org Region London Last inspected 20 Apr 2023

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

Earlier inspection findings

pre-2024 framework · 5 must-do 6 should-do

Must-do actions (5)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 5
Must do
Safe
The service must ensure that all equipment including the fire extinguisher are serviced in line with manufacturer guidelines(Regulation12(2)(e)).
Regulation: Regulation 12 (Safe care and treatment)
⚠ We found an out-of-date fire extinguisher (March 2018) on the first floor during our inspection despite the fire audit and health and safety audit indicating that fire extinguishers were serviced annually.
Must-do action 2 of 5
Must do
Safe
The service must ensure medicines are managed safely. They must ensure all medicines are in date, stored securely and labelled appropriately(Regulation12(2)(g)).
Regulation: Regulation 12 (Safe care and treatment)
⚠ A medicines cupboard in one of the theatres on the ground floor was unlocked. We found an expired pack of medicines which had been prescribed for a patient in a medicines cabinet on the ground floor. We also found two out of date ampoules in a tray of medicines in …
Must-do action 3 of 5
Must do
Safe
The service must control infection risk well. They must ensure sinks are designed in line with national guidance, sharp bins are labelled and stored appropriately, and equipment are free from infection risk(Regulation12(2)(h)).
Regulation: Regulation 12 (Safe care and treatment)
⚠ The surgical light in one of the first-floor theatres was still covered in cling film which increased infection risk. The surgical couch covering was still not fully intact and had been mended, this also increased the risk of infection. The design of the sinks was not in line with guidance. …
Must-do action 4 of 5
Must do
Safe
The service must ensure equipment are appropriately located for the purpose for which they are being used. They must ensure there are adequate resuscitation equipment on each floor(Regulation15(1)(f)).
Regulation: Regulation 15 (Premises and equipment)
⚠ There was no resuscitation trolley on the ground floor during our inspection and it was unclear how the emergency trolley on the first floor would be brought down to the ground floor if a patient were to deteriorate there. During our inspection not all medical gas cylinders were stored securely. …
Must-do action 5 of 5
Must do
Well-led
The service must ensure the risk register is comprehensive and includes all relevant risks(Regulation17(2)(a)(b)).
Regulation: Regulation 17 (Good governance)
⚠ The risk register was not comprehensive and did not reflect all the risks identified during our inspection. The risk register did not include some of the main risks around the environment, infection prevention and control and medicines management identified during our inspection.

Should-do actions (6)

Recommended improvements to enhance service quality.

Should-do action 1 of 6
Should do
Well-led
The service should ensure that staff meetings are well attended and the minutes contains sufficient detail to provide a clear understanding of what was discussed.
Should-do action 2 of 6
Should do
Well-led
The service should ensure all relevant staff have access to clinical records, policies and performance data.
Should-do action 3 of 6
Should do
Safe
The service should ensure all medical gas cylinders are stored safely.
Should-do action 4 of 6
Should do
Effective
The service should ensure clinical audits are fully embedded to monitor patient outcomes.
Should-do action 5 of 6
Should do
Effective
The service should ensure that staff conduct detailed assessment of patient psychological and emotional needs.
Should-do action 6 of 6
Should do
Safe
The service should ensure there is a named safeguarding lead who has completed at least level 4 safeguarding children training.

Location details

CQC ID: 1-10959992841
Local authority: Barnet
Region: London

Inspection report

Type: Focused inspection
Date: 20 April 2023
Rating: Requires Improvement
Actions: 5 must-do 6 should-do
AI-extracted 17 Feb 2026