We saw evidence of how the provider used patient surveys and feedback to inform improvements to the service. Feedback was mostly complimentary and we saw examples of compliments on feedback cards.

We saw that the practice had a system for gaining consent and that forms were consistently completed. People's medical history and requirements informed the planning of care and treatments were duly recorded. Emergency drugs were appropriate and available, and we saw other examples of the practice following published guidance.

The premises were clean and there were systems to minimise the risk of infection. The surgery rooms had clinical hand wash sinks that were not to the prevailing standard but were adequate for use. The facility for decontaminating reusable instruments had only one wash sink rather than the two prescribed. We saw examples of refurbished surgeries owned by the provider in recent inspections and were assured that refurbishment included design to the prevailing clinical standards.

Staff received regular training and supervisory support. The provider had a system for quality assurance and monitoring and we saw evidence that this was used to inform management decisions and policy review.