The provider had a system in place for obtaining and acting in accordance with the consent of people using the service. We looked at the treatment records held for three people. Records noted that treatment options, risks, benefits and alternatives had been discussed. Consent to treatment was recorded. One who used the service told us "treatment stops immediately if you have any problems or concerns".

People's individual needs were assessed during consultation with the member of staff providing the service and treatment plans to meet them were agreed. People who used the service told us staff "always had time to listen" and "always explained the treatment". One person said "I can't praise the practice highly enough" and "I wouldn't go anywhere else".

The standard of the environment throughout the practice was good and appeared clean, tidy and well maintained. The provider had a number of infection prevention and control policies in place which provided clear instruction for staff on processes such as decontamination of equipment. People who used the service described it as "very clean" and "clean and modern".

There were sufficient numbers of suitably qualified, skilled and experienced staff available to meet the needs of people who used the service and to respond to any unexpected changing circumstances such as sickness.

The provider had an effective system in place for receiving, handling and responding to any comments and complaints received.