We carried out this inspection to follow up on two areas which required improvement following the last inspection. We spoke with staff, checked equipment and looked at records relating to staff training and monitoring of quality.

We found that the provider had appropriate systems in place to demonstrate that staff were suitably trained and qualified to do their job.

We saw evidence of an effective system to regularly assess and monitor the quality of the service that patients received.

This inspection was completed over two days. We inspected the service on the 22nd July 2013 but the provider became uncooperative with us. The provider received a letter from us informing them that their behaviour was unacceptable, and we re-inspected the service on 20th August 2013 accompanied by a specialist dental advisor.

During our inspection, we spoke with four people who used the service, a dental nurse and the dentist, who was also the registered manager and provider of the service.

People told us they were involved in the planning of their care and were treated with care and respect.

People told us they were happy with the care and treatment they received. One person said, “It's quality dentistry here. Without this dentist, my teeth would not be as good as they are”. Another person said, “I’m very happy with my care”.

Systems were in place to reduce the risk of infection, but we found that some best practice guidance to reduce the risks of infection was not being followed.

We were unable to confirm that all the staff working at the service were suitably trained to meet people’s needs. This was because the provider did not have a system in place to evidence the training the staff had completed.

Effective systems were not in place to enable the provider to consistently assess and monitor the quality of the service they provided.