People who used the service understood the care and treatment choices available to them. We spoke with three people when we visited the practice. One person told us "I have been coming to this dentist for over 12 years and my dentist always explains the treatment I need and options available".

The dentists and dental nurses who worked at the surgery had Criminal Records Bureau (CRB) disclosures in place (now called DBS – Disclosure and Barring Service). These checks were undertaken to ensure they were suitable to work with vulnerable people and children.

We saw evidence that dentists had advised people what treatments could be provided by the dentist and what treatments needed to be referred to specialist dental providers. People were referred to other specialists for orthodontic treatment, complex periodontal treatments and other specialist dental treatments.

We were shown the personal files for various staff. These contained details of continuing professional development and records of staff appraisal. This meant that staff had received appropriate professional development. This meant that patients could be assured that they were receiving the appropriate care from properly trained, supported and qualified staff.