4 July 2023
During a routine inspection
We rated the service requires improvement because:
- The provider did not always operate effective governance to ensure staff practice aligned to policies and policies were not always up to date.
- The provider did not always fully identify and consider the risks to service users and staff and did not always collect enough information to safeguard people effectively.
- Staff did not always complete mandatory training on time and the provider did not always check they completed.
- The provider did not always operate robust recruitment processes to ensure staff were ‘fit and proper’ for their role.
However:
- The provider implemented innovative initiatives to support patients at risk of domestic abuse.
- The clinic environment was fit for purpose and a welcoming environment for service users and their families.
- Staff worked well together to support service users and were passionate about delivering good care. Service user’s feedback was consistently positive.
- The service had effective systems in place to refer service users to other services if they needed to.