Patients using the service were offered advice and information on treatment options, associated risks and costs after an assessment of their medical history and needs. Patients had the opportunity to ask questions and consider their choices and were given information to take away with them. There was access to counselling if required.

There were suitable arrangements for emergencies with emergency equipment and drugs and fire safety procedures. Staff had regular training in basic life support and first aid.

Signed consent was obtained in all cases before treatment commenced and after an informed decision had been made.

We spoke to patients who told us that they felt well informed about treatment options and risks. One patient told us, "All the staff are very knowledgeable and helpful", while another said "All the information was clear and our questions answered fully."

The premises were clean and adequate standards of hygiene and cleanliness were apparent and procedures were in place to minimise the risk of infection to those using the service.

There was an appropriate recruitment policy and staff files showed that suitable checks had been made when employing staff, including references, employment history and proof of identity.

There was a complaints procedure for recording complaints and comments about the service and a patient satisfaction questionnaire which was analysed regularly and showed high levels of satisfaction with the service.

Patients told us that they were given adequate information about the clinic and its services. They reported being treated with respect and dignity and were satisfied with the quality of care they received.