This inspection followed a visit we made to the provider on the 7 June 2013, when we had noted some issues which had a minor impact on the care and treatment people received. These related to respecting and involving people who used the service and to supporting workers. We set compliance actions, requiring the provider to take steps to comply with Regulations 17 and 23 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010.

On the 2 August 2013, the provider sent us a plan of the actions intended to meet the requirements of the regulations. We carried out this inspection to check on the actions taken. We looked at records relating to people’s treatment and other records regarding the service and discussed matters with the practice manager. We found that improvements had been made and that the provider had taken sufficient and appropriate action to meet the requirements of the regulations.

This report is a follow up to our report published in March 2013. We had inspected this provider on the 1st March 2013. We noted some issues which had minor or moderate impacts on people using the service. These related to respecting and involving people who use the service, the care and welfare of people who use the service, cleanliness and infection control, supporting workers and record keeping. We set various compliance actions requiring the provider to take steps to comply with Regulations 9, 12, 17, 20 and 23 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010.

Following our visit in March, we had asked the provider to send us an action plan setting out what would be done to meet the requirements of the regulations. The action plan was received on the 14th May. We made a further visit on the 7th June 2013 to check on the action the provider had taken to meet the requirements of the regulations. We found that improvements had been made and that the provider had taken appropriate and sufficient action to comply with Regulations 9, 12 and 20. However, we noted that some issues of concern remained and have set further compliance actions relating to respecting and involving people who use the service (Regulation 17) and supporting workers (Regulation 23).

Patients were complimentary about the practice they said that the staff were "excellent". They felt that they were treated with respect and dignity. They told us they were "fully informed" about the choices, costs, alternatives and possible outcomes of their treatment.

The practice was friendly and welcoming. However the staff told us that they were not all registered with the General Dental Council, they could not demonstrate that they were well trained and up to date with their continued professional development. There was lack of organization in the practice, management tasks such as audits had not been carried out which meant that they could not demonstrate that the service was safe for patients who use it.