During our inspection we spoke with 12 people who used the service. People spoken with were happy with how the service was provided overall. One person said 'fantastic, he always explains what he is doing, 100% no complaints at all'. People told us they could express their views and were given appropriate support and information for their treatment choices. One person said 'the dentist gave me options and time to think about it, I wasn't rushed, he was very thorough'.
Records were not fully completed to ensure treatment could be planned to ensure people's health and welfare needs were met.
We spoke with two of the four dentists, the implant specialist, the dental therapist, four of the five dental nurses and a receptionist who were employed by the service. Dental staff had a good understanding of their responsibility in protecting vulnerable adults and children from abuse. We saw staff followed infection control guidance to ensure people using the service were protected from the risk of acquiring an infection.
The practice manager and provider had systems in place to monitor and assess the quality of the service. However, where improvements had been identified, they had not been appropriately addressed to ensure improvements had been made and sustained.
At the time of our inspection the provider did not have a registered manager in post. The service had not had a registered manager in post since November 2013. The provider informed us that they had a manager in post who would apply for registration in the near future. The practice manager in post had been in place since October 2013.