When we visited Fitzgerald and Associates in August 2014 we found not all systems in place to reduce the risk and spread of infection were robust. We undertook a follow up inspection of this service in October 2014 to review the areas of concern identified. We did not speak with patients during this visit as none were available.

The provider had implemented changes to make improvements and we found effective systems were now in place to reduce the risk and spread of infection.

When we visited Fitzgerald and Associates in July 2013 we found not all systems in place to reduce the risk and spread of infection were robust. We undertook a follow up inspection of this service in August 2014 to review the areas of concern identified in July 2013. We did not speak with patients during this visit as none were available.

During this inspection we found the provider had appointed a new cleaning contractor. Cleaning schedules were in place for all areas and monitored daily. An infection control audit had been carried out and a re-audit was planned. Despite the improvements we identified some actions had not been completed and further concerns in relation to the control and risk of infection were identified.

We met with the provider and two associate dentists. We spoke with six patients and a receptionist and trainee dental nurse who were directly employed by the practice. Patients told us they were very satisfied with the service they received. One patient said “I like the fact you see the same dentist”. Another said “I’ve been given options and costs”. Patients’ views were sought by the service and we saw evidence that comments had been acted upon, including a recent redecoration of the waiting room. Survey results showed a high level of satisfaction with patient care.

We looked at six patients’ records which were up to date and contained patients’ treatment plans and medical histories. Staff told us they were well supported and we saw evidence that appropriate training and development had been offered and undertaken by most staff.

There was a moderate risk of cross infection due to the practice not following some department of health guidance and procedures and relevant checks not being undertaken and recorded.