Our reviews of patients' care records evidenced to us that a valid consent and agreement to the medical procedure was obtained only after the risks and benefits of the procedure had been explained in an easily understandable manner to each patient. Patients who lacked the mental capacity to provide a valid consent only had the procedure completed where it was in their best interests.

Patients had their health assessed and this included an assessment of risks such as allergies to medicines prior to having their medical procedure. The endoscopist only continued with the patients' care following the completion of an assessment that indicated it was safe to do so.

During our tour of the clinic we found that surfaces, equipment and treatment rooms were dust free and appeared hygienically clean. The clinic followed Department of Health guidance for the safe management of infection control. Not all staff at the clinic had attended recent infection control training. The provider was in the process of delivering a new training programme.

Our review of records demonstrated to us that the provider sought the views of all patients following their visit to the clinic. We saw that the majority of comments were positive about the care that had been provided. People told us that they (InHealth endoscopy) could not have done anything any better. One person said, "All the staff were amazing and made my visit as comfortable as it could possibly be."