We found that the provider had not taken steps to address the continued concerns regarding the lack of effective systems in place to identify, assess and manage risks and as a result we have determined to take further action.
We also found that previous concerns about co-operating with other bodies had been addressed. Information about patients that were transferred from the Surgicentre to the NHS hospital was also appropriately transferred in patient notes.
People told us they felt safe and said of the staff, 'They're all wonderful and make a fuss of anyone that comes in.' People told us that they felt the staff were competent to care for them and staff reported to us that previous staff shortages had been dealt with. There were sufficient numbers of staff with the appropriate mix of skills to meet people's needs.
The provider has not notified the Care Quality Commission of incidents as required that affect the welfare, health and safety of people using the service without delay so that action can be taken where needed. This is an offence.
People told us that staff came in good time when they needed anything, and that they had been given regular food and drink during their stay. People told us that staff spoke to them respectfully, and maintained their dignity. People told us that staff checked on them regularly after they returned from theatre and that they were offered pain relief tablets when needed.