As part of this inspection we visited the community dermatology services. On this occasion we did not visit the dental service, as these inspections are carried out every two years. We had already inspected them in January 2013; where we found the essential standards of quality and safety were being met.

On the day of our inspection we spoke with a specialist dermatology nurse/manager, (who was an advanced practitioner and manager of the service,) an administration officer/ health care assistant, an administration officer/reception staff and a person who used the service.

People who used the service told us the nurse was, “Lovely.” They said the nurse had made them feel good about themselves; “Relaxed and confident.”

We also looked at the 'Patient Opinion' website which is a place where people can give anonymous feedback on the service they have received. The website is independent of the service. We saw people had written positive comments about the service they received. These included people thanking the nurse for the educational support they had received and on how the staff had improved their skin conditions.

Appropriate recruitment checks were in place prior to the employment of staff. This meant the provider had taken steps to ensure the staff they employed were of good character and suitable people to work with vulnerable groups.

The provider had a system to regularly assess and monitor the quality of service people received.

As part of this inspection we visited the Dental service, and Moorfields Primary Care Centre, which shared the same building; and offered a range of consultation services, including Dermatology and Neurology.

On the day of our inspection we were unable to speak with people who used the services as there were no services taking place. However, we used a number of different methods to help us understand their experiences and this included reviewing the Locala dental survey, completed in December 2012, and the monitoring of concerns/complaints/compliments.

The outcome of the dental survey in relation to customer care showed, people were treated well and the staff were pleasant and helpful.

The procedures for care and treatment were carried out in line with up to date published research and good practice guidelines such as those from ‘The National Institute for Health and Clinical Excellence (NICE).’