We last inspected this service on the 6 September 2012 and found the provider was not meeting the essential standards of quality and safety for Requirements relating to workers and Assessing and Monitoring the quality of service provision. We asked the provider to send us an action plan as to how they were going to achieve compliance. The provider failed to send us an action plan as required.

As a result we carried out a follow up inspection on 10 January 2013 to check whether the provider had achieved compliance with these essential standards.

We did not speak with people as part of this inspection.

People who used Castle Street Dental Surgery told us that they felt pleased with the care that they received. Several people reported that they had been able to arrange urgent appointments at short notice and that the staff were helpful. One person said 'I have always been able to get an appointment when necessary'. People reported that the staff were friendly and helpful.

People using the practice told us that they felt informed about their treatment options and the associated costs. They told us that they were asked for their consent prior to treatment commencing. This was reflected in the evidence that we found.

They felt that they were offered a safe service. They told us that the dentist discussed their medications with them and gave information regarding post care.

We found evidence that the practice had not completed the necessary Criminal Record Bureau (CRB) checks in relation to the dental nurses. We were told that the practice would apply for these immediately. We also found evidence that audits had not been completed as regularly or thoroughly as required. We were told that this would be rectified.