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Inspection report

Date of Inspection: 8 February 2014
Date of Publication: 29 March 2014
Inspection Report published 29 March 2014 PDF


Inspection carried out on 8 February 2014

During a routine inspection

We were able to speak with two people who had attended for surgical procedure on the day, both of whom found the overall service highly efficient. Evidence from satisfaction questionnaires also confirmed a generally high opinion of the service.

People received care, treatment and support that met their needs and we saw evidence that they received safe and appropriate care. The provider placed strong emphasis on the consent process and in so doing, carried out a comprehensive pre-assessment routine.

We saw procedures were in place for the prevention, detection and control of infection and the maintenance of appropriate standards of cleanliness and hygiene.

We inspected the clinical area and found it was suitable for the delivery of an invasive procedure. There was a robust system in place for the sterilisation of surgical instruments.

People were being cared for by suitably qualified, skilled and experienced staff, who were receiving strong clinical and managerial support, together with regular training.

We saw evidence of internal audit and review for both procedures performed at the clinic. These were producing high levels of surgical outcomes, supported by action plans where further work was required.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who used the service and others.