We set a compliance action for the provider to improve practice. The provider sent us an action plan which outlined how they intended to become compliant.
We revisited the practice on the 17 February 2014 and saw thorough checks were now undertaken when recruiting staff. This ensured staff suitability to work.
We saw that people's medical histories were taken into account. New patients were required to fill in a medical history questionnaire and people's medical histories where reviewed regularly. One person told us "They check my medical history and I have to sign my form if there are any changes."
Staff members we spoke with demonstrated how to raise safeguarding concerns when providing care and treatment to patients. Staff had access to relevant policies and guidance around safeguarding. This demonstrated that people's safety and welfare was appropriately met.
Recruitment checks and procedures were not in line with legal guidelines. We saw not all staff had appropriate pre-employment checks. Patients could not be confident that they were being treated by staff who were assessed as experienced, qualified and through effective recruitment checks.