Before people received care or treatment they were asked for their consent and the dentists acted in accordance with individuals’ wishes. Our observations confirmed that consent was sought by dentists who had sufficient knowledge about individuals and their personal needs. People said they saw the same dentist most of the time.

People’s needs were assessed, treatment was planned and delivered in line with their individual treatment plans. Treatment was delivered in a way that was intended to ensure people's safety and welfare. One person said, “I have called in at times to see whether I could see a dentist although I hadn’t an appointment. Staff are good and there is always someone who will see me. You can’t get that in a lot of places.”

Systems were in place to reduce the risk and spread of infection. Staff said specific cleaning routines were in place to maintain a good standard of hygiene. Dental nurses informed us that all nurses had received training on decontamination and they were able to follow the correct procedures.

Appropriate checks were undertaken before staff began work. A dentist said they knew their staff and they had policies to follow if staff were no longer fit for work.

Dentists had systems to identify, assess and manage risks to the health, safety and welfare of people. As part of monitoring the service a number of audits had been carried out. People said they felt they were listened to when comments were raised about the service.