It was not possible to speak to people who use the service as no one had an appointment booked at the time of the inspection. However, we looked at recent testimonials from people who use the service on the provider's website and the 2012 feedback summary report. These indicated that people were satisfied with the quality of the care provided. One person had written "I can't rate this clinic highly enough for standard of care and professionalism".

Information leaflets on the different procedures provided at the clinic were sent to people before their appointment. Every person had a consultation with a therapist or doctor before the procedure was carried to assess their suitability for the treatment. A medical history was taken for each person and staff told us that they would advise a person when a treatment might not be appropriate.

There were systems in place to deal with foreseeable emergencies and any adverse incidents were logged and investigated. Managers undertook annual audits on patient records, complaints, incidents and staff appraisals and ensured policies and procedures were regularly reviewed. The results of these audits were used to produce a summary report on the clinic. Staff received appropriate professional development and the doctors who worked at the service were appraised by another doctor independent who was external to the clinic.