The three patient records we looked at showed patient choice regarding treatment options. We were told that options were explained confidentially: covering risks, benefits and fees. Medical histories were updated at each visit. There were arrangements in place to deal with foreseeable emergencies and all staff had had basic life support training. The practice had emergency equipment available including oxygen, airways and emergency drugs.

The dentist was able to demonstrate an understanding of safeguarding children & vulnerable adults and a child protection and vulnerable adults' protection policy was in place. However, the provider may wish to note that not all staff were aware of the policy and only one staff member had attended safeguarding training.

We spoke with the provider about infection control. We were told that the surgery had recently installed seamless flooring for the treatment room. The dental instrument decontamination room had "clean" and "dirty" areas. Personal protective equipment (disposable aprons, masks and gloves) were used in treatment rooms and decontamination room. Staff had undertaken Infection control training in 2011. Refresher training is planned for February 2013.

Patient’s personal records including medical records were accurate and fit for purpose. Patients we spoke to were positive about the accuracy of records and their usefulness as a tool to help them make informed decisions about their care.