We spoke with people who use the service and looked at the April 2012 feedback survey. People felt they had been involved in decisions about their care and that they had been given sufficient information. Overall people were satisfied with the quality of care provided.

A medical history was taken for each person and people were assessed by an orthodontist. People were referred to their usual dentist or a specialist if dental treatment was required. There were procedures in place to deal with medical emergencies and all staff had received basic life support training.

There were systems to protect people from the risk of infection. Staff were able to describe the decontamination process for cleaning instruments. There were cleaning schedules in place and infection control audits were undertaken every three months.

Appropriate checks had been undertaken before staff could begin work. All staff had had a Criminal Records Bureau (CRB) check and clinical staff were required to provide evidence of their professional qualifications.

The provider monitored the quality iof the service provided. People who use the service were asked for their feedback and we saw that the provider took account of comments and complaints. Audits were undertaken and action plans were put in place, if required. We were told that practice meetings took place every three months, but the most recent meeting minutes available were from September 2011.