We spoke with six people who had received treatment on the day of our visit to the practice. All said they were satisfied with the treatment they received. One said their dentist was ''brilliant''. One person told us they had been seen as an emergency and were pleased to have been offered an appointment promptly.

Several people said their partners and children also attended the practice. One said the staff were very good with treating children and added ''mine have no fear about coming here''. People commented that staff were friendly, polite and helpful. Treatment options were explained to them; one person said the dentist had shown them a video of what was required to help explain the procedure. People said they were told about costs of treatment before they went ahead with them.

We asked people if they had any concerns about their treatment and none were raised.

People said the practice was clean and hygienic.

We carried out a follow up inspection of Eastgate Dental Centre on 22 November 2016.

We undertook an announced comprehensive inspection of this service on 26 April 2016 as part of our regulatory functions and during this inspection we found a breach of the legal requirements.

After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach. This report only covers our findings in relation to those requirements.

We checked whether they had followed their action plan to confirm that they now met the legal requirements.

We reviewed the practice against one of the five questions we ask about services:

• is the service well-led?

We have not revisited Eastgate Dental Centre as part of this review because the practice was able to demonstrate they were meeting the standards without the need for a visit.

A copy of the report from our last comprehensive inspection can be found, by selecting the 'all reports' link for Eastgate Dental Centre on our website 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.

Background

Eastgate Dental Centre provides NHS and private preventive, cosmetic and implant dentistry for both adults and children. The practice is situated in Aylesbury and has been established since 2005.

The practice has ten dental treatment rooms. Seven of which are based on the ground floor and two separate decontamination rooms used for cleaning, sterilising and packing dental instruments. The ground floor is accessible to wheelchair users, prams and patients with limited mobility.

The practice employs eight dentists, three hygienist, eight dental nurses, four reception staff and a deputy practice manager.

The practice opens 8.30am to 1pm and 2pm to 5.30pm Tuesday to Friday, 8.30am to 1pm and 2pm to 7pm on Monday and Saturday morning from 10am to 1pm.

There are arrangements in place to ensure patients receive urgent dental assistance when the practice is closed. This is provided by an out-of-hours on call service provided by the 111 service.

Mr. Sanjay Rayarel is registered as an individual and is legally responsible for making sure that the practice meets the requirements relating to safety and quality of care, as specified in the regulations associated with the Health and Social Care Act 2008.

Our key findings were:

• Staff recruitment checks complied with Schedule 3 of the Health and Social Care Act 2008 (amended 2014).

The five key questions we ask and what we found:

Are services well-led?

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

Since the last inspection on 26 April 2016 the practice had implemented effective systems and processes to ensure staff recruitment checks met regulations.