When we inspected on 23 October 2013, we saw that a washer disinfector was used as part of the process of decontaminating (i.e. cleaning and sterilising) dental instruments. However, the provider was unable to evidence that the washer disinfector had been validated, tested, maintained or serviced. We asked the provider to take action.

Shortly after our October 2013 inspection, we were advised that the washer disinfector had been taken out of service and when we inspected again on 19 December 2013, we were advised that the washer disinfector was now not used as part of the decontamination process. We saw that the provider’s other decontamination equipment had been serviced within the last 12 months and that records were kept of their daily and weekly tests. There were effective systems in place to reduce the risk and spread of infection.

Patients were able to discuss treatment, medical history, fees and other matters in private. This ensured that patient privacy was respected. We spoke with two patients - both of whom told us that staff treated them with dignity and respect. For example, one patient remarked that, “the receptionist is very welcoming.”

Patients we spoke with were positive about the quality of care and treatment received. One patient told us that the dentist was,”very good” whilst the other patient remarked that the dentist was “attentive and creative in his [treatment option] ideas.”

Staff we spoke with demonstrated an understanding of safeguarding children and vulnerable adults. They were able to describe possible types of abuse such as physical abuse and dental neglect. They were able to explain how, and to whom, they would report a safeguarding alert.

The provider had a dedicated room for cleaning and sterilising dental instruments. Staff could explain the process to be followed to ensure that dental instruments were properly cleaned and sterilised. However, the provider was unable to evidence that a washer disinfector used to clean dental instruments had been validated, tested, maintained or serviced as referenced in Department of Health guidance.

The provider told us that patient consent forms were obtained for new courses of treatment. We were also told that patient medical history questionnaires were updated at each visit, as necessary.

Patients that used the dental practice told us they were happy with the service provided. They felt they were given enough information about their treatment options and the relevant fees and were able to ask questions when they wanted to.