At our previous inspection, we found minor concerns with the cleanliness and infection control at the service. This was because floor and wall surfaces in the decontamination room were not smooth and easy to clean. Some areas were not clean and presented a risk of infection. Further, there was no cleaning schedule in place.

At our inspection of 30 June 2014, we saw that the decontamination room had been refurbished and surfaces were compliant with required standards. The premises were clean and hygienic.

We saw a detailed cleaning schedule which had been audited. Where issues were identified, these were noted on the audit and followed up to ensure that appropriate standards of cleanliness and hygiene were maintained.

We spoke with two people who told us they had used the service for a number of years. They told us they received clear information from staff at the service about their proposed treatment and were satisfied with the care and treatment they received. One person said, “I am obviously very satisfied with the treatment I have received or I would not be here after all this time.”

Records showed that treatment was planned in a way that was intended to ensure people's safety and welfare. We saw that arrangements were in place to deal with foreseeable emergencies.

We found that the manager’s processes for assessing and managing the risk of infection and the cleanliness of the premises were flawed. This placed people at a greater risk of exposure to infection.

People were cared for by staff who were supported to deliver treatment safely and to an appropriate standard People who used the service told us that staff were pleasant, helpful and gentle.