29 October 2014
During an inspection looking at part of the service
We found people were protected against the risks of unsafe or unsuitable premises. Fire evacuation procedures had been assessed and reviewed and fire safety equipment had been recently serviced. An external health and safety company had been consulted to help ensure relevant legislation and guidance was fully implemented. We saw risks associated with substances hazardous to health had been identified and controlled so they were minimised. We found all areas of the practice were clean and hygienic and a process was in place to ensure appropriate cleaning standards were maintained.
The provider had effective systems in place to assess and monitor the quality of service provided. There were clear systems in place to identify risks to the health and safety of people who use the service. We found a process in place for recording and learning from any incidents or accidents which occurred. Comments and complaints were used to improve the service and people who use the service were asked for their views on the care and treatment they received. There were clear procedures for receiving, handling and responding to complaints within appropriate timescales.
The provider had an effective system in place to notify the Care Quality Commission (CQC) of incidents specified in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 which prevent or are likely to prevent the service's ability to provide safe care and treatment. This included incidents reported to the police and meant people's welfare, health and safety were protected.