This inspection was carried out under section 62 of the Health & Social Care Act 2008. We performed this inspection to check on action taken by the dental practice following a warning notice imposed at our previous inspection in May 2013. At that time we found that the dental practice was failing to ensure that patients were protected against the risks of unsafe or inappropriate care and treatment by ensuring there was an accurate record in respect of each patient. We also noted that records in relation to persons employed for the carrying on of the regulated activity, and records relating to the management of the regulated activity were not in place.

During this inspection we noted that improvements had been made where we had concerns especially with regards to record keeping. Patient's individual treatment records examined on the day of our inspection showed that patients had been involved in consultations regarding their individual dental treatment regimes. This shows that patients had been provided with appropriate information to ensure they were in a position to provide informed consent when required.

We met and spoke to two patients who were attending an appointment with their dentist. They told us that they were involved in the decisions about their dental treatment and care.

The patients we spoke to were happy with the treatment they received. One person said “I am very happy with the dentist and have no concern”.

Patients could book an appointment when leaving the practice if they needed any follow treatment.

We found that Leytonstone Dental Centre does not give patients information regarding the care and treatment options available to them or advice on the risks and benefits of a particular course of treatment. We were concerned that patient's records did not always show evidence that their medical history had been discussed before treatment began. We found that systems were in place and staff were trained to deal with medical emergencies.

We found that all areas of the practice were clean and tidy. There were effective systems in place to reduce the risk and spread of infection. We were unable to check whether the provider carried out appropriate pre-employment checks before staff began work because the manager did not keep staff records. We saw evidence that staff were registered with their relevant professional body.

There were no systems in place to monitor the quality of care and treatment provided, or to take account of complaints or comments from service users. We were concerned about the manager's lack of awareness regarding his obligation to keep proper records in relation to patients, staff and the management of the regulated activities.