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Inspection carried out on 17 February 2014

During a routine inspection

We looked at the treatment plans of five patients, both adults and children. We saw that the records contained up to date medical histories, oral assessments, evidence of consent obtained, x-rays, photographs and referral letters to an implant centre and various different hospitals. We saw evidence of written treatment plans detailing the options discussed at the consultation and the associated costs; we saw that each letter gave the patients a breakdown of what would happen at each of the appointments for example one patients treatment would be performed across four visits, and for each visit there was a description of the treatment that was delivered.

We saw that the practice had a dentist who was the decontamination lead with operators who were authorised to operate the decontamination equipment. The practice had a dedicated decontamination room for the decontamination and sterilisation of dental instruments. We observed a nurse demonstrating the decontamination process undertaken to sterilise re-usable dental instruments. We saw plastic boxes of differing colours were available to store clean instruments.

We were told by the registered manager that all staff underwent annual performance reviews where the main achievements of the year would be discussed and improvements and achievements for the following year would be set. One member of staff told us that �they were quite good especially if you need help, they will point you in the right direction.�

During a check to make sure that the improvements required had been made

Our inspection of 1 March found that not all of the staff that worked in the practice had completed training in safeguarding vulnerable adults from abuse. The provider wrote to us and told us that all of the staff working in the practice had now completed safeguarding vulnerable adults from abuse training. The provider sent us information which confirmed this. This ensured that people who used were safeguarded against the risk of abuse.

Our inspection of 1 March found that criminal record bureau (CRB) checks had not been undertaken for all staff working in the working in the practice. The provider had now taken steps to ensure that people who used the service were protected because they had now carried out the right checks.

Inspection carried out on 1 March 2012

During a routine inspection

People using the clinic said that they were happy with the service provided. They said that they were given enough information about their treatment and the relevant fees.

People said that they found all of the staff to be friendly. One person said that the clinic was 'excellent'. They said that the clinic was clean.