We saw evidence of how the provider used patient surveys and feedback to inform improvements to the service. Feedback was mostly complimentary and we saw examples of compliments on feedback cards. We saw that the practice had a system for gaining consent and that forms were consistently completed. People's medical history and requirements informed the planning of care and treatments duly recorded. Emergency drugs were appropriate and available, and we saw other examples of the practice following published guidance.

The premises were clean and there were systems to minimise the risk of infection. The surgery rooms had clinical hand wash sinks that were not to the prevailing standard but were adequate for use. The facility for decontaminating reusable instruments had only one wash sink rather than the two prescribed. Whilst it was possible to use this facility adequately, the layout of the room and obstructing redundant dental equipment made this less than ideal.

Staff received regular training and supervisory support. The provider had a system for quality assurance and monitoring and we saw evidence that this was used to inform management decisions and policy review.