We spoke with 10 patients, both dentists, the practice manager and a dental nurse.

We saw that the practice had a system for gaining consent and that treatment and consent forms had been consistently completed. Clear written information was provided to patients about their various treatment options and the costs involved. One person told us, "The dentist explains everything to me and I am often given a choice." Another commented, "I went to this practice for a second opinion and was given a choice and time to think about the different options."

Patient's medical and dental health needs were accurately documented in their records. Medical information that could have an impact on patient's treatment was reviewed regularly and kept up to date.

The practice was clean and hygienic and the staff followed appropriate infection control procedures in line with current legislation. One patient told us, "The practice is always clean to a high standard."

We found that there were effective recruitment and selection processes in place for the selection and management of staff, and the staff had had the necessary recruitment checks.

The provider had systems for dealing with any complaints and for patients to make comments.