We spoke with two people using the service and they were clear about the reasons for their treatment. One person told us that they had been informed that the centre was reviewing its prescribing policy and although they did not agree with it, they understood the reasons why it was necessary.People using the service who were prescribed medicines outside national guidelines, signed a declaration to accept such treatment.
Records reviewed showed that people using the service had individual risk assessments and care plans that were related to those risk assessments. One person described the staff at the centre as "quite marvellous".
Although staff had attended training on the protection of vulnerable adults, the registered manager was unclear about the procedure to follow should there be concerns about the person's welfare.
A doctor authorised to prescribe medicines recorded the dosages prescribed to people using the service within their medical records.
We saw evidence that staff had attended various training courses including health and safety, infection control and managing aggression and violence. There were arrangements in place to supervise and appraise staff other than the registered manager on their performance.
Staff made electronic records of people's care that were clear and concise. Each person using the service had a single set of medical records, where all members of staff recorded their consultations.