Our last inspection in April 2013 identified some concerns that patients who use the service were not always protected from the risk of infection because appropriate guidance had not been followed.

There were no emergency treatment arrangements including emergency medication and access to medical oxygen and staff had not received training in responding to emergencies.

Patients who use the service were protected from the risk of abuse because the provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Patients who use the service, their representatives and staff were not asked for their views about their care and treatment received.

We carried out this follow up inspection to check that improvements had been made.

We found that the improvements required following our previous inspection had been fully completed and that patients who use the service were protected from the risk of infection.

There were emergency treatment arrangements including emergency medication and access to medical oxygen and staff had received training in responding to emergencies.

Patients who use the service were protected from the risk of abuse because the provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Patients who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on.

We spoke with four patients who told us they were happy with the service provided. Patients told us they were very satisfied with the practice. They said they never had to wait long for appointments, and in an emergency they had always been seen on the same day. One patient said “My wife and I have been coming here for years and they are always accommodating, they have always fitted us in”. Patients said their treatment plans were always explained and discussed with them, including choices about treatment and costs. Patients said that the practice was always clean, and all the staff were friendly and welcoming.

We found non compliance because there were no arrangements in place to deal with foreseeable emergencies, the provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.