This inspection was to follow up problems with infection control that we identified at our previous inspection in July 2014.

During this inspection we talked to the practice manager, a dental nurse and the hygienist. We looked at the surgeries and equipment and we checked records.

We found that the problems with infection control had been addressed. There were cleaning schedules and a list of daily cleaning tasks had been put in each surgery. Records were being made each day when cleaning tasks had been completed. These were being checked by the practice manager and any shortfalls were being identified. This meant that people were being cared for in surgeries that were clean and hygienic.

Paper towels were being stored appropriately in the towel holders to make sure that they did not become contaminated. The infection control policy had been updated. Staff had been made aware of infection control procedures, such as how to manage dental unit water lines and at what temperature to wash their uniform. Equipment was being stamped with the correct date following sterilisation to make sure it was always safe to use. An audit of infection control procedures had been done and where any shortfalls were identified, these had been addressed. Records were being made of the regular checks of the washer disinfector to show that it was working effectively.

All these measures meant that people were cared for in an environment which was clean and reflected good infection control practices.

We spoke with six patients, two dentists, three dental support staff and the practice manager.

Patients told us they rated the service highly. One patient said "excellent, brilliant, everyone is friendly. They are so helpful in changing appointments." Another patient told us "I've never had any problems. They're always happy and cheerful."

Patients said they were involved in their treatment plans and their permission was always sought before any treatment commenced. We saw patients had a comprehensive treatment plan which they signed as consent to the treatment and costs.

Staff followed guidance from the Mental Capacity Act (2005) to support patients with impaired mental capacity. Staff we spoke with were aware of the legal requirements of consent with regards to treatment for children.

We saw from patients’ records appropriate referrals were made to other healthcare professionals.

We found there were formal and informal systems for supporting staff to undertake their role effectively.

Patients told us they were satisfied with the cleanliness of the practice. We found aspects of the premises were not effectively cleaned. Some infection control procedures followed were not best practice and put patients at risk.