Following the inspection the provider wrote to us and told us they would take action to ensure they were compliant with these essential standards.
At this inspection we found that improvements had been made. The provider had reviewed their policies and procedures and implemented new systems which assessed the risk of and prevented the spread of health care associated infections.
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.