At our last inspection on 20 June 2013 we identified concerns in relation to staff.

People could not be assured that they were being cared for by suitably qualified, skilled and experienced staff as the provider did not undertake appropriate checks prior to staff commencing work and did not hold all the necessary information about the staff suitability and qualifications.

We asked the provider to send us an action plan detailing what they would do to ensure they provided a safe service. We received this in August 2013.

At this inspection we reviewed the progress the provider had made in taking action to ensure compliance in the areas of concern. We found that the provider had taken appropriate measures to achieve compliance.

We carried out an inspection in February 2013 when we identified concerns with information provided to people, care planning, infection control, staffing and complaints. We made compliance actions asking the provider to take action in order that we were reassured that people were in receipt of safe and adequate care. The provider wrote to us and told us what action they were going to take and they sent us an update on their actions in May 2013.

We found that the provider had taken steps to improve processes and practice related to information provided to people, care planning, infection control and complaints.

We saw that before people received any care they were asked for their consent and the provider acted in accordance with their wishes. We spoke to two people who used the service, both told us they were asked for their consent before their scan.

We found that the provider had taken some steps towards ensuring that people were receiving care from staff who had maintained their professional registration, however this had not been completed for all staff.

We found that there was no recruitment processes in place meaning that people could not be assured that all relevant checks had been completed for all staff who worked in service.

During our inspection we spoke with one person who was attending the clinic for a scan. The person said the clinic was ‘’fine. I was seen very promptly. In effect earlier than my appointment.’’ No other people were available to speak to us.

The provider relied upon people accessing their website for information. People were not provided with information and guidance about the uncertainties in ultrasound imaging of the foetus associated with pregnancy scans.

We spoke with one person who told us their privacy and dignity had been maintained at all times.

One person told us how staff had assisted them in preparing for the scan and had asked for their verbal consent.

Staff told us people attending privately were always given a written report of the result of the scan before they leave the clinic.

We found the service to be clean and in a good state of repair, but there was no record of any cleaning being carried out. Staff and people who used the service were not adequately protected from the risk of infection because the provider did not have an effective system for monitoring the risk if infection in the clinic.

The provider did not have effective system in place to ensure staff training was up to date and that healthcare staff had maintained their registration and indemnity.

Information about how people could raise concerns was not available to people. We spoke with one person who did not know who they should contact if they wanted to make a complaint.