7 February 2014
During a routine inspection
The provider had systems to regularly assess and monitor the quality of service that people received. For example, they could demonstrate how they had acted on patient survey findings, accidents and complaints. We also found that patients were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse.
However, we found that infection control systems were not always effective at protecting people using the premises against identifiable risks of acquiring a health care associated infection. For example, we could not be assured that infection control audits took place frequently and were acted on, and clinical waste was not securely stored away from areas accessible to patients. We received action plans to address our findings shortly after the inspection.
We also found that we had not been formally notified of changes to who was operating the service. This may have compromised our effective regulation of the service.