We spoke with the manager and deputy manager. Following the inspection we tried to contact some patients to get their opinion on the service but were unsuccessful. Recruitment records of a new member of staff confirmed that the company recruitment processes had not been followed as identified within their human resource policy. We found that some pre-employment checks had not been completed prior to the person starting work at the clinic.
Patient's needs had been assessed, risks identified and personalised plans of care developed. We saw evidence of patient involvement in consent processes.
We found that adequate systems had not been put in place in relation to the maintenance of equipment. We asked that some items be removed as they were out of date. We found that checks had not been carried out for some equipment, including fire equipment at the clinic which could put people at risk.
We identified at the providers previous inspection in October 2012 that staff were not aware of the arrangements in place at the clinic to ensure that people were protected from abuse. These arrangements related to a lack of staff training in the safeguarding of vulnerable adults and a lack of staff awareness about the clinic's vulnerable and disadvantaged adult protection policy. Staff confirmed that they had not received training in adult protection or been made aware of the local authorities 'Safeguarding of Vulnerable Adults Policy.'