During our visit to the service there were no patients available to speak with. We noted that people had been regularly asked for their views and had added the following additional comments to the questionnaires completed in December 2012 and January 2013; 'A superb practice. Have been extremely pleased', 'very good service', 'Excellent standards across all staff. Would recommend', 'Very professional service all round. Confident in the staff and work carried out'.

We noted that clear information about the services available at the Orthoclinic and cost of National Health Service and private treatments were available.

We noted that clear records of the treatment options discussed with people and a schedule of planned treatments were available for the people who had been treated at the practice.

We observed that there were up to date infection prevention and control systems in place that ensured that the dental equipment, treatment areas and premises had been appropriately sterilised and cleaned before patients were treated.

There were clear child and adult protection procedures in place for staff to follow should they be concerned about the care of young people or vulnerable adults.

We noted that staff had been given the regular opportunities they needed to update their practice and keep up to date.

We observed that the practice was well managed and organised with clear processes in place to review and audit the quality of the service provided.