We carried out an announced comprehensive inspection on 22 March 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.

Our key findings were:

• The service had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service learned from them and improved processes.
• Staff involved patients with their procedures and treated them with kindness, dignity and respect.
• Patients found it easy to get an appointment at a time that was convenient to them.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The service was well managed with supportive leadership.
• Policies and procedures had been thoroughly reviewed and applied.
• Staff were valued and appropriately trained for their roles.
• There was an increasing customer demand for the service from an increasing geographical area.

There were areas where the provider could make improvements and they should:

• Consider reviewing arrangements for monitoring and recording of prescriptions.
• Consider reviewing how the practice ensures the timely disposal of sharps bins.
• Consider the implementation of formal meeting agendas and minutes.
• Consider reviewing policies to ensure they are specific to the provider.