We inspected Bywood Dental Practice to check whether improvements had been made to the practice following concerns we found on 10 February 2014. The practice was not ensuring patients were treated in a hygienic and safe environment. The practice was not identifying and monitoring risks to patients. The practice sent us an action plan following the inspection telling us what improvements they were going to make.

At this inspection we found improvements to the premises had been implemented. Cleanliness was monitored using a daily checking tool. Hygiene and infection control guidance related to hand washing was being followed. Risks related to the premises that we identified had been assessed and managed to ensure patients were safe.

We spoke with three patients, the practice owner and two members of staff during this inspection. Patients told us they were provided with appropriate information before making decisions about their treatment. One patient told us they were always treated "in a professional and proper manner". They were satisfied with the care they received. One patient said the dentist was "excellent."

We found patients were assessed appropriately to ensure any treatment was effective and safe. Treatment areas and instruments were clean and hygienic. However, we found some risks related to the infection control.

The provider assessed the quality of their service and identified and acted on potential improvements to the service. However, some risks to patients and others were not identified, assessed or managed by the service.

During our announced comprehensive inspection of this practice on 30 October 2017 we found breaches of legal requirements of to the Health and Social Care Act 2008 in relation to:

• Regulation 17 Good Governance

We undertook this focused inspection to check that the provider now met legal requirements. This report only covers our findings in relation to these requirements. You can read the report from our previous comprehensive inspection by selecting the 'all reports' link for Bywood Dental at www.cqc.org.uk.

Our findings were:

Are services well-led?

We found that this practice was providing well-led care in accordance with the relevant regulations.

Key findings

• Overall, we found that effective action had been taken to address the shortfalls identified at our previous inspection and the provider was now compliant with the regulation.

Background to this inspection

We undertook an announced focused inspection of Bywood Dental on 29 March 2018. This inspection was carried out to check that improvements to meet legal requirements planned by the practice after our comprehensive inspection on 30 October 2017 had been made.

We inspected the practice against one of the five questions we ask about services: is the service well-led?

During our inspection we spoke with the provider and the practice manager and reviewed a range of documentation.

The inspection was carried out by a CQC inspector.