It was not possible to speak to people who use the service directly as they were cared for in their homes. However, we looked at completed feedback questionnaires, the provider's 2011 feedback summary report and feedback from private doctors that commissioned Night Doctor’s services. These indicated that people were very pleased with the service and the care and treatment they received. One person said that they had felt listened to and that the doctor had "understood" how they felt. A doctor who commissioned the services of Night Doctor was "extremely impressed" with the service and the doctor's clinical skills.

We looked at medical notes and saw that a detailed history was taken for each person. The diagnosis and proposed treatment had been documented and the person's consent had been sought to share the information with their usual GP. Where necessary, a referal to a specialist was made and all people received a follow-up phone call the following day to check how they were.

All staff had had the appropriate checks before they commenced work and had received safeguarding training. There were systems in place to monitor the quality of service provided. A number of audits had been carried out and we saw evidence that learning from incidents took place.