When we last visited the location we found the provider did not have fully effective recruitment and selection procedures in place. We therefore asked them to make some improvements. The provider sent us an action plan telling us they had made the necessary improvements and this visit was to check to see if those improvements had been made.

During this visit we found the provider had made improvements and had taken the required steps to ensure staff were safe to work with vulnerable adults. Also that they could be assured that these staff were of suitable character to work with vulnerable

adults and children.

We did not speak with people during this visit.

People told us they felt the practice delivered care and treatment in a way that met their needs and felt safe when they had treatment. One person said "The location is handy for me and I've always had good treatment” and another person said " "Staff are friendly and I always feel at ease when visiting".

People told us they felt safe at the service. Staff provided us with examples of types of abuse and possible signs of abuse. They were aware of the reporting procedure for safeguarding issues and had seen a copy of the practice's safeguarding policy.

We saw that there were effective systems in place to reduce the risk and spread of infection. People also told us the practice was clean.

The provider did not have an effective recruitment and selection procedures in place and did not retain required background documentation about staff.

The provider had clear systems in place to obtain feedback from all persons involved in the service as well as auditing their own service.