This was a follow up visit to check whether the provider had taken action that related to training and support of staff and the requirements that related to the recruitment of staff.

During this inspection we found the area where the clinical waste bin was kept had a large amount of dog faeces on the floor. This meant that there was a risk that staff were treading in this when they disposed of the clinical waste. The provider addressed this on the day on the inspection and moved the clinical waste bin to another area.

We saw that the service had a recruitment policy. We looked at staff files and found that not all of them had what was required before they started work. For example a full employment history and references.

Staff that we spoke told us that they felt supported and that their professional development was encouraged by the manager. We found that staff undertook an induction before they started work.

This was a follow up visit on the 31st October 2012 to check whether the provider was complying with the regulations in relation to cleanliness and infection controls, assessing and monitoring the quality of the service and risks associated with unsafe or unsuitable premises.

The CQC issued warning notices on the 2nd October 2012, in relation to these areas, and told that they were required to become compliant by the 30th October 2012.

We took with us a dental advisor to this inspection so that professional clinical advice was given where necessary.

We found that the provider had introduced cleanliness and infection control systems which meant that that the service was routinely cleaned to minimise the risks of infection.

The provider had undertaken various works across the service to improve the appearance of the surgery. They had taken also taken appropriate steps to reduce the risk of an unsafe environment.

On this occasion we did not speak to any patients.

This was a follow up visit to check whether the provider had completed the action plan submitted to CQC following their last inspection in February 2012. The action plan related to cleanliness and infection controls, administrative and training matters.

When we last visited the surgery in March 2012 the patients we spoke to had expressed satisfaction with all aspects of the service.

On this occasion we spoke to one patient using the service who told us the “Dentist was wonderful” and found the practice to be “Very supportive.”

Patients who spoke with us indicated that they were very satisfied with the services provided at this dental practice. They felt that they had been fully informed about their treatment and care needs, had been involved at all stages of their care, and made aware of their progress.

Staff were said to be very professional in their duties and respected the dignity and rights of each person. Preferences and choices had been taken into account when planning and agreeing individual treatment.