We carried out this inspection to see if the provider had made improvements following our last inspection. At the time of that inspection we had concerns that people who use the service were not protected from the risk of abuse. We also raised concerns that the provider did not have systems in place to assess and monitor the quality of the service.

During this inspection we found the provider had made improvements and systems were in place to protect people and monitor the quality of the service.

We carried out this inspection to see if the provider had made improvements to recruitment procedures and infection control practices since our last visit in September 2012. At that inspection people we spoke with three people who use the service about the cleanliness of the practice; all three told us they felt the practice was clean. One person told us “The dentist is cleaner than Derby hospital and I go there a lot too”. None of the three had any concerns regarding staffing and recruitment.

We saw that the provider had made improvements to recruitment procedures and infection control practices since our last visit.

We spoke with three people who use the service. All three told us staff were friendly and approachable and spoke to them in a respectful way. All three people we spoke with told us staff treated them with dignity and communicated well. People felt they were looked after and involved in discussions about their care.

People told us they felt safe at the practice and that it was clean. Nobody we spoke with had any concerns about staffing and all felt they had an opportunity to give feedback to the provider.