As the main purpose of this inspection was to assess improvements made in relation to shortfalls identified during our previous inspection in January 2013, we did not request information directly from people using the service on this occasion.

During this inspection we found that the provider had taken sufficient action to address the shortfalls we identified in relation to safeguarding people, maintaining equipment, and recruiting and supporting staff. The provider was now compliant with all outstanding actions.

As the main purpose of this review was to assess improvements made in relation to shortfalls identified during our previous visit of 10 January 2013, we did not request information directly from people using the service.

Overall we found that the provider had taken good action to address the serious shortfalls identified at our previous inspection in relation to cleanliness and infection control within the practice.

As the main purpose of this review was to assess improvements made in relation to shortfalls identified during previous visit of 10 January 2013, we did not request information directly from people using the service.

Overall we found that the provider had taken sufficient action to address the serious shortfalls identified at our previous inspection in relation to their ability to deal effectively with medical emergencies.

During our inspection on the 10 January 2013, we received many positive comments about the service from the people we spoke with. We spoke with six people who told us that they always saw the same dentist each time they visited; that they were able to get appointments at times that suited them and were not kept waiting when they attended the surgery. All the people we spoke with told us they would recommend the service. One person described it as, “Excellent” and another told us that staff were good at making them feel calm during their treatment.

We found that dental staff had explained the treatment to people and had involved them in important decisions about their oral healthcare. People had been given comprehensive dental plans which clearly outlined their treatment and any associated risks. However, we found a number of concerns with the service, including the ability of staff to deal with medical emergencies, cleanliness and hygiene, and the recruitment and support of new staff.

As a result of concerns with the practice's ability to deal with medical emergencies and infection control procedures and cleanliness, we issued two warning notices to the registered provider on 17 January 2013.