This was a follow up inspection to check the provider had taken the required actions to meet essential standards following our previous inspection in October 2013.

At our last inspection we found the provider had not ensured that current guidance on the prevention and control of infection was followed. Staff had not received training in infection control. Records were not always kept which demonstrated the effective sterilisation of instruments. Infection control and prevention audits were not in place. Therefore maintenance of good hygiene practices, in accordance with relevant guidance, could not be assured.

We found the provider had taken steps to ensure that relevant guidance had been followed in order that people were protected from the risk of infection. People were cared for in a clean, hygienic environment.

We spoke with four patients who attended this practice. They told us that they were very happy with the service provided. They felt they were given enough information about their treatment options and the relevant fees. They also told us they could ask questions and did not feel rushed. Patients told us they were always treated with respect.

We saw that the treatment options discussed with patients were recorded in their dental care records. We saw completed treatment plans. A price list was available and patients told us they knew approximately what treatment would cost. One patient told us that the practice "Was brilliant". Another patient told us "They will always fit you in if a problem occurs or if you are in pain"

We were told what the process was for reporting child or vulnerable adult abuse, however formal training and policies and procedures were not in place.

There were infection control policies in place but these were not being effectively applied.

Patients told us that they would know how to complain but that they never had the need to do so.