During our inspection of Riverbanks Clinic on 3 October 2013, the people we spoke with said they were asked to consent before proceeding with any treatment. They said they proceeded with a full understanding of what they were agreeing to. They told us their medical histories were checked as part of the pre-procedure process. Our review of records showed that people's consent, medical histories and specific risk factors were checked and well recorded.

People told us that staff at the service were professional and friendly and treated them with respect. They said they found the service to be very clean and had no complaints. One person said of her experience: "I'm really happy and would recommend them." Another person said: "I'm totally satisfied."

The staff we spoke with were knowledgeable about forms of abuse and how to identify it. They had access to a safeguarding policy and training on safeguarding and infection control was organised for them during our inspection. The staff we spoke with demonstrated a good understanding of infection control procedures. We saw that the service appeared clean and had appropriate arrangements in place to ensure the instruments and equipment used were fit for purpose.

We saw the service had a complaints process in place and complaints people made were responded to appropriately. Our observations and review of documentation showed the service had sufficient arrangements in place to deal with foreseeable emergencies.

Riverbanks Clinic offers a range of day care services, many of which are not under the Care Quality Commission registration. Some aesthetic (cosmetic) procedures are covered by the registration and we spoke to four people who had recently received such treatments. All made positive comments about the clinic and it's staff. One person said ''I cannot find fault with it''. Another person said ''they answered my questions realistically and explained what would happen. The clinic was clean, warm and comfortable''.

When we visited Riverbank Clinic, we found good records were kept of the medical history of people, the information they had received and the procedures that had decided upon. People were given good information to take away for reference and people told us that clinic staff were readily available to advise and support them after procedures. Records were kept during the procedure, including any actions taken to minimise risks. A good programme of aftercare was in place and people were strongly encouraged to follow this. They told us they valued this support, which helped them achieve their chosen outcome.