People who attended this centre were referred to by their own dentist for treatment. Most people who used this service were usually from the age of 11 to 18. However people over 18 were also treated.

Before people received treatment they were asked for their consent and the orthodontists acted in accordance with individual's wishes.

Young people were accompanied by their parents or a responsible adult. An orthodontist and a dental nurse spoke with them about the choice of treatment available. Since most treatments were not urgent, people had several months between their initial consultation and the second appointment. This gave people the opportunity to reconsider and make changes.

People's needs were assessed and treatment was delivered in line with their treatment plan. During planning stages patients were informed of the risks associated with their treatment and how it could be minimised by the orthodontists. The dental hygienist was involved in promoting good dental care so that the best outcome was achieved.

Three young people told us they understood their treatment plan. Seven parents told us that the orthodontists always spoke with the young people when explaining the treatment and asked for their comments. This meant patients were fully consulted and included in the decisions.

The environment was clean and free from unpleasant odours.

Four staff recruitment records were checked. Essential checks had been carried out prior to employment.