There were appropriate arrangements in place to support consultant surgeons to obtain consent from people using the service for certain types of care and treatment. We found that people were positive about the care they received and the facilities available. One person told us "The surgeon treats me with care and respect." We reviewed patient feedback forms. One person commented "A perfect experience in every way." Another person wrote "I have received absolutely excellent service and care."

We observed that the service had appropriate emergency equipment and that staff had received up to date training to deal with resuscitation situations. Infection control practices and equipment were appropriate to prevent the spread of infection. We found the service to be clean and tidy.

Medicines were stored safely and drug stock records were accurate and well maintained. We saw evidence that other records relating to the service were fit for purpose and held securely including medical records and staff information. Regular audit of the management of the service was conducted and documented to improve care provision.

We were not able to speak with patients during our visit. However, we saw evidence from a patient survey which showed that patients were satisfied with the service and their involvement in making decisions about their care and treatment.