The inspection took place on 15 January 2015 as part of our national programme of comprehensive inspections. This practice had not previously been inspected under the current ownership.

Andover Smile Centre provides private dental treatment to patients of all ages. The practice provides general dental services and specialist treatments such as orthodontics, implants and inhalation sedation. (This form of sedation is a mixture of anaesthetic gas and oxygen breathed through a nosepiece. This helps patients to feel relaxed and accept treatment). The practice team consists of the principal dentist, who is the registered manager, a part time dentist a visiting implantologist and two part time dental hygienists. The clinical team are supported by four dental nurses one of whom works as the practice receptionist.

The practice consists of two treatment rooms with a reception and waiting area in between. All patient areas are on the ground floor with access suitable for all patients. There is a ramp and flat access to the practice building; however the practice toilet cannot be accessed by patients who require the use of a wheelchair.

During our inspection we spoke with four patients and reviewed 22 comments cards, which patients had completed in the week before our visit. All patients commented positively about the care and treatment they had received and the friendly, efficient and professional staff. A number of patients commented on the sympathetic, understanding dentist who had helped them overcome their fears and to make them more relaxed patients.

Our key findings were:

• The practice provided a clean well equipped environment
• All staff were kind and caring in the way they dealt with patients
• There was a regular schedule of staff meetings which included staff training.
• Patients were able to make routine and emergency appointments when needed. There were clear instructions for patients regarding out of hours care.
• There was clear leadership of the practice and staff told us they felt well supported and comfortable to raise concerns or make suggestions.

There were also areas where the provider could make improvements and should:

• Ensure the Infection control policy is updated to reflect the registered name of the practice and the layout of the practice premises.
• Provide staff with refresher training in safeguarding children and vulnerable adults to meet the requirements of their own practice training policy.
• Complete the risk assessment for Legionella and initiate a programme of monitoring.
• Complete a risk assessment in relation to dental hygienists working without dental nurse support.