Epilium & Skin

⚠ There were still no decontamination facilities for surgical equipment and staff were unable to explain how reusable equipment was cleaned ready for use. There were still no audit records to provide assurance of such processes were in place.

⚠ There was still no medicines management system in place. Medicines were stored in various drawers, cupboards, and trolleys. There was no stock control or tracking system. The service was not undertaking or documenting the checking of the ambient temperature in the theatre where medication was being stored. The Controlled Drugs …

⚠ Emergency medical equipment remained unfit for purpose. The resuscitation trolley was used to store non-emergency medicines and equipment, delaying access. There was not enough equipment to provide emergency care, for example, only one laryngeal airway mask suitable for a limited weight range.

⚠ Staff did not complete risk assessments for each service user. There was no policy for staff to identify and act upon service users at risk of deterioration. There was still no risk assessment or inclusion/exclusion criteria in place to identify if a service user was unsuitable for cosmetic surgery. The …

⚠ The service could not evidence it had enough staff with the right qualifications, skills, training, and experience. There was no process to keep records of theatre support staff. Employee files lacked evidence of in-date Disclosure and Barring Service (DBS) checks, right to work in the UK, application forms, CVs, interview …

⚠ The governance system remained not fit for purpose. The provider and registered manager were not compliant with their regulatory responsibilities and didn’t have processes in place to ensure safe standards of working. The service still didn’t have a deteriorating service user policy or an admissions and exclusion criteria policy in …