At our inspection of 12 March 2013 we found shortcomings in the arrangements for the decontamination of dental instruments. National guidelines were not being followed, which could place people at risk. Consequently the provider was not meeting the standards for regulation 12.

At our inspection of 11 April 2014, we did not speak to people who used the service as the focus of our inspection was the clinic’s infection prevention and control processes. We found that the provider had made improvements in response to the previous inspection and was now meeting the essential standards of quality and safety. Appropriate guidance was now being followed to protect people from the risk of infection.

We spoke with one person who used the service and looked at feedback questionnaires that had been completed in February and March 2013. People felt that their treatment had been explained fully and were positive about their consultation with the dental surgeon. One person described them as "fantastic". People were given sufficient infomation to make decisions about their care and treatment

People's care and treated was planned and delivered in a way to ensure their safety by staff that had had the appropriate pre-employment checks. People were always examined by a dental surgeon. They were required to complete a medical history form and any medical conditions or allergies were highlighted on the provider's electronic records system.

There were systems in place to protect people from the risk of infection. Reusable instruments were decontaminated appropriately and people who use the service observed staff wearing personal protective equipment. However, no Legionella risk assessment or water testing had been undertaken, as required by national guidance.

There were systems in place to monitor the quality of service being provided. Feedback was collected from people who use the service and reviewed by the practice manager. Practice meetings took place monthly and any comments, complaints or incidents were discussed.