We carried out this inspection to ensure that improvements had been made in relation to infection control. We spoke with the practice manager. We were unable to speak to people using the service because there was no one available on the day of our inspection.

We found that systems had been improved since our last inspection and any potential risks to people had been reduced.

We carried out this inspection to check on the care and treatment of people. Following the inspection we conducted telephone interviews with five people. On the day of the inspection we spoke to one person who was receiving treatment, three members of staff and a manager from head office.

The practice consists of a reception/waiting area downstairs and on the first floor there is one treatment room which was not wheelchair accessible, one decontamination room and one toilet. The provider informed us that they had other services nearby that were accessible to people with mobility issues.

People told us they were happy with the services provided and confirmed they consented to treatment. One person said, “Staff always explain everything before I consent”.

Records showed detailed treatment plans were in place. One person said, “I do complete a medical history questionnaire and the dentist arranges for me to come back for checks if needed”.

We observed the decontamination process and the environment was clean and tidy. However instruments used were not all clean and rust free and the washer disinfector machine was not working. People would therefore not be kept safe from contaminated instruments.

Records showed that the provider had a suitable system in place to ensure appropriate skilled and qualified staff were recruited.

We found the provider had a process in place to allow people the opportunity to raise complaints about the services they received.