We carried out this follow up inspection to check that improvements had been made.
We found that the improvements required following our previous inspection had been completed and that patients, staff and visitors who used the service were protected from the risk of unsafe or unsuitable premises.
We carried out this follow up inspection to check that improvements had been made.
We found that the improvements required following our previous inspection had not been fully completed and that patients who used the service were not protected from the risk of unsafe and unsuitable premises.
We found that improvements had been made to protect patients who used the service from the risk of abuse.
People we spoke with were happy with the care and treatment they received at the practice. People spoke highly of the staff and one person said "Staff here are always very helpful". We found that people's needs were assessed and care and treatment provided was discussed with patients and delivered to meet their needs. People spoke positively about their experiences of care and treatment.
We found that whilst there were child and adult safeguarding policies in place, staff had not received training in these subjects. Staff had also not been checked under the Disclosure and Barring Services (DBS).
We found that people were protected from the risks associated with infection because appropriate procedures were followed by staff.
Medicines were kept safely, and there were processes to ensure the security of medicines and prescription pads.
People who used the service, staff and visitors were not always protected against the risks of unsafe or unsuitable premises. Whilst the premises were suitably designed for the purpose of providing GP and nurse services, the provider did not have suitable arrangements in place to ensure the premises and grounds were adequately risk assessed or maintained.
There were formal mechanisms and documentation in place to indicate whether the practice was able to monitor or assure the quality of the service people received.