We found that the provider had effective arrangements to ensure that people who used the service understood the treatment options available to them and had time to consider the risks and benefits before giving their consent. Each person who used the service had an individual care plan which included details of their reasons for requesting treatment, medical history, surgical notes and a record that the risks and benefits had been fully explained to them. People who used the service were given the name of the member of staff who was responsible for coordinating their treatment. A person who used the service said 'The staff are very friendly, you can ask questions.'The provider did not have effective arrangements to protect staff and people who used the service from the risk of infection. We found that the provider's cleaning contractor had not followed good cleaning practice and the provider was unable to ensure that staff and people who used the service were protected from the risk of infection.
The provider had effective arrangements for the recruitment of suitably qualified and experienced staff and appropriate checks were made before new staff commenced work.
The provider had arrangements to manage, review and learn from complaints made about the service. However information about raising a concern or making a complaint was only available on request.
At the time of our visit the provider was not registered to undertake surgical procedures.