At a previous inspection on 11 December 2013, we asked the provider to make improvements so appropriate checks were in place to ensure the procedure of conscious intravenous sedation for nervous people was carried out safety.

During this inspection we found that the required changes had been made. The provider had introduced an audit of the procedure of conscious intravenous sedation and ensured they worked to the recommended clinical standards for this procedure.

People that used the service told us that they were happy with the service they had received. They said that treatment options had been explained clearly which had helped them to decide whether to go ahead with the treatment. A person said, “They talk about all the treatment options and give me time to think it over.’’ Another person said, "When I come here they make me feel completely at ease. They are helpful, kind and look after me well.’’ The dentists we spoke with confirmed what people told.

We saw the provider had systems in place that ensured people were effectively protected from the risk of infections. A person told us, ‘’The practice is spotless. Everything is clean and tidy".

The practice offered conscious intravenous sedation for nervous people which allowed them to be sedated without the need for a general anaesthetic and have dental treatment. We found that the provider needed to make improvements to ensure the environment where this procedure was carried out and the equipment and the medicines used met the recommended clinical standards for this procedure.

The provider had an effective quality assurance system to monitor the quality of service provided.