When we visited the practice we found that staff were supported and had received an annual appraisal. Records held reflected that staff were on course to achieve their number of hours of continuous professional development in order to maintain their skill levels. The certificates for completion of these hours were available for us to view.

The provider was seeking the views of the people who used the service through a patient survey that had been started in January 2014. We looked at a number of the questionnaires that had been completed to date and these reflected high levels of satisfaction amongst patients. A suggestion box was also available in the reception area for people to use.

The views of staff members were sought at a team meeting held in November 2014 and minutes of this meeting had been recorded. This meeting was also used to discuss any areas for improvement that had been identified.

A complaints procedure was now in place and on display in the reception area. We noted there had been no complaints received. Records were now available for us to view. These included policies and procedures and information in relation to persons employed at the practice.

When we visited the service we found that people were involved in their care and treatment and they were treated with dignity and respect. Literature was available to inform people of the types of service that were provided.

People we spoke with were positive about the care and treatment they received and they confirmed that a medical history was taken and checked when they attended for treatment. Patient records reflected the types of treatment suggested and written treatment plans had been provided for some people. One person said, "The dentist explains everything to me including any risks, options and benefits and the costs are made clear to me." Another said, "I am happy with the quality of the dental work and they are very kind and caring."

We found that infection control procedures were in line with recommended guidelines but some minor improvements were required. Cleaning schedules also needed to be in place in relation to the general cleaning of the premises.

Staff told us that they were supported in their training and continuous professional development. Staff did not receive any annual appraisals to reflect that they were competent in their role.

The provider did not have an effective system in place to assess and monitor the quality of the services they provided. This put people at risk of unsafe care and treatment.

There was an absence of policies and procedures at the practice in relation to any of the regulated activities.