This visit was a follow up to determine compliance with compliance actions issued at our inspection in April 2013. At this visit we did not speak to any people who received a service.

We saw that appropriate checks were undertaken before staff began work.

The practice had an effective well organised system to regularly assess and monitor the quality of service that people received. People who received a service were regularly asked to give feedback in the form of questionnaires.

People's needs were assessed and treatment was planned and delivered in line with their individual treatment plan. The two people we spoke with commented positively about the care and treatment they had received. They told us it was easy to make appointments and waiting times at the practice were minimal.

There were effective systems in place to reduce the risk and spread of infection. Appropriate guidance was available and followed. We saw areas of the practice that had been recently redecorated.

We saw that appropriate checks were not undertaken before staff began work.

The practice had a system to regularly assess and monitor the quality of service people received. However these were not always effective.