On our inspection of 23 December 2013 we found that the provider did not have a system in place to monitor and assesses the quality of the service. We found clinical audits and equipment servicing had not taken place and there was no accident and incident reporting procedure.

During this inspection we looked at clinical audits which had been completed by the provider and equipment service records. A treatment plan audit had been carried out of patient records. Ten treatment plans had been audited to ensure that information on patient records covered their medical history, agreed treatment plan, consent and lifestyle advice.

The provider had commenced a service contract for the maintenance of equipment. We saw the service contract for the autoclave.

A procedure for reporting accidents and incidents with the required reporting documentation was in place.

The improvements made by the provider meant that systems were in place to ensure treatment was being delivered safely.

We spoke with four patients who all gave positive feedback about the care and treatment they had received. One patient told us "The dentist makes me feel relaxed so I don't panic. He is a very nice man."

We observed care being delivered to three patients and saw they were treated with dignity and respect. Patients told us that they were not given a copy of the treatment and costs involved but were given time to think before undergoing treatment.

We observed that telephone enquiries and appointment scheduling was handled by the dentist or dental nurse. The dentist told us if a person called while another person was receiving treatment the nurse may leave the room to deal with the enquiry.

Infection prevention and control was carried out but not in accordance with guidance from the Department of Health. Patients we spoke with were positive about the cleanliness of the practice telling us "It is always very clean when I go there."

We found staff were encouraged to take part in additional training however they were not supported by a system of formal appraisal.

We found overall that the provider did not have an effective system in place to continuously monitor and improve the quality of service provision.

We found records kept in relation to the care and treatment of patients, the employment of staff and the management of the service were inadequate and not all fit for purpose. We saw that records relating to patients were kept securely ensuring confidentiality.