We inspected this provider previously on the 17 January 2013 and identified that effective recruitment procedures had not always been followed. Since the last inspection the dentist had not recruited any new staff to post and would not be doing so in the near future. We saw that a recruitment protocol is now in place. The provider may like to note that the current recruitment protocol did not fully identify a recruitment and selection procedure that complies with legislation about employment, equalities and human rights.

Some other actions taken by the dentist since our last inspection have included undertaking police checks on all the practice staff and developing a staff induction checklist for new staff.

We spoke with the dentist, three staff and six patients. Patients told us they had been happy with the service provided. Some comments were, ‘’ Have a good ethos at the practice ’’ and ‘’ When I go in for a check-up I feel I have value for money.’’ Patients told us they found the staff approachable and would approach them with any concerns. We saw patient satisfaction had been monitored throughout the year and found patient satisfaction to be good.

We saw some systems in place to protect people from the risk of abuse. Discussions with staff showed that they had awareness of what to do, who to approach and the guidance available should safeguarding concerns be identified. During the inspection we also looked at requirements relating to workers as we found some shortfalls in recruitment and pre-employment checks at the practice.

We saw that there were sufficient staff available to accommodate patients’ needs. Patient records and discussions with patients confirmed their needs had been assessed, risks identified and personalised plans of care developed for each patient. We saw evidence of joint working with dental specialists to ensure patients' specialist dental healthcare needs had been met. We have asked that the provider may like to note our findings in relation to the current practice of the storage of resuscitation drugs at the practice.