We carried out an announced comprehensive inspection on 15 February 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Community Medical Services Limited (CMS) provide a vasectomy service to patients from the surrounding area and rooms for consultants from secondary care to provide outreach clinics.

The GP lead for CMS is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We gained feedback through ten comment cards completed by service users in the two weeks prior to the inspection. Comments made were universally positive; the service was described as excellent with a positive trend of comments on the friendliness of staff.

Our key findings were:

• The reporting and recording of significant events detailed concerns identified and were appropriately followed up to prevent further occurrences. Improvements were made where appropriate.
• Arrangements were in place for sharing external best practice guidance and the learning outcomes from significant events, incidents and near misses with staff.
• The practice had systems to promote quality improvement.
• Infection control audits and action plans promoted a clean and appropriate environment.
• Staff recruitment checks carried out were in accordance with the relevant regulations.
• Staff had clear roles and responsibilities.