8 September 2014
During an inspection looking at part of the service
We were also concerned that there were deficiencies in the implementation of policies and procedures to assess and monitor the quality of service provided. For example, we found that fire safety inspection documents were out of date and that there was no current fire inspection certificate. Patient questionnaires were only provided in English, whereas the majority of the patient population's first language was Turkish.
We asked the provider to take action.
At the follow up inspection we were provided with up to date fire safety documents including a current fire safety certificate. We were also provided with an infection control policy which detailed the procedure for the cleaning of the premises and viewed up to date cleaning schedules. We noted that the latest patient survey dated January 2014 was made available in both English and Turkish.