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Archived: Precise Dental Care

Inspection Summary


Overall summary & rating

Updated 9 July 2015

We carried out an announced comprehensive inspection on 18 May 2015.

Precise Dental Surgery provides private, general dental services to patients of all ages. The team at the practice included a dentist who is the registered manager a practice manager who is also a dental nurse, she helps to deliver the practice’s administration and clinical governance systems. There are also two dental nurses, working on a part-time basis on a rota and a receptionist. The practice is open Monday 9.00am to 7.00pm, Tuesday to Thursday 8.30am to 5.30pm and Friday 08.00am to 4.00pm. The practice also offers appointments on a Saturday by arrangement.

The practice is housed in a converted residential property and is on the ground floor. There is one treatment room. The reception and waiting area are on the ground floor along with a dedicated decontamination room and patient toilet. The practice is accessible to patients with restricted mobility as treatment is carried out on the ground floor.

The dentist is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

During our inspection we spoke with two patients and reviewed 15 comments cards, which patients had completed in the week before our visit. All patients commented positively about the care and treatment they had received and the friendly, polite and professional staff. A number of patients commented on the discussions they had with the dentist about their care and treatment and how they felt listened to and were made to feel relaxed.

We found that this practice was providing safe, effective, caring, responsive and well-led care in accordance with the relevant regulations.

Our key findings were:

  • The practice recorded and analysed significant events and complaints and cascaded learning to staff.
  • Staff had received safeguarding and whistleblowing training and knew the processes to follow to raise any concerns.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment were readily available.
  • Infection control procedures were in place and the practice followed published guidance.
  • Patient’s care and treatment was planned and delivered in line with evidence based guidelines, best practice and current legislation.
  • Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
  • Patients were treated with dignity and respect and confidentiality was maintained.
  • The appointment system met the needs of patients and waiting times were kept to a minimum.
  • There was an effective complaints system and the practice was open and transparent with patients if a mistake had been made.
  • The practice was well-led and staff felt involved and worked as a team.
  • Governance systems were effective and there was a range of clinical and non-clinical audits to monitor the quality of services.
  • The practice sought feedback from staff and patients about the services they provided.
Inspection areas

Safe

No action required

Updated 9 July 2015

We found that this practice was providing safe care in accordance with the relevant regulations. Infection control procedures were robust and staff had received training. Radiation equipment was suitably sited and used by trained staff only. Emergency medicine in use at the practice were stored safely and checked to ensure they did not go beyond their expiry dates. Sufficient quantities of equipment were in use at the practice and serviced and maintained at regular intervals

Patients’ medical histories were obtained before any treatment took place. The dentist was aware of any health or medication issues which could affect the planning of treatment. Staff were trained to deal with medical emergencies

Staff had received training in safeguarding and whistleblowing and knew the signs of abuse and who to report them to. Staff were suitably trained and skilled to meet patient’s needs and there were sufficient numbers of staff available at all times.

Effective

No action required

Updated 9 July 2015

We found that this practice was providing effective care in accordance with the relevant regulations. Consultations were carried out in line with best practice guidance such as those from the National Institute for Health and Care Excellence (NICE). Patients received a comprehensive assessment of their dental needs including a review of their medical history. The practice ensured that patients were given sufficient information about their proposed treatment to enable them to give informed consent.

The staff kept their training up-to-date and received professional development appropriate to their role and learning needs. Staff who were registered with the General Dental Council (GDC) demonstrated that they were supported by the practice in continuing their professional development (CPD) and were meeting the requirements of their professional registration.

Health education for patients was provided by the dentist and dental hygienist. They provided patients with advice to improve and maintain good oral health. We received feedback from patients who told us that they found their treatment successful and effective.

Caring

No action required

Updated 9 July 2015

We found that this practice was providing caring services in accordance with the relevant regulations. Patients we spoke with told us that staff were very pleasant, helpful and professional. We saw that receptionists, dentists and nurses engaged well with patients.

Patients felt listened to by all staff and were given appropriate information and support regarding their care or treatment. They felt their dentist explained the treatment they needed in a way they could understand. They told us they understood the risks and benefits of each option.

Responsive

No action required

Updated 9 July 2015

We found that this practice was providing responsive care in accordance with the relevant regulations.

Appointment times met the needs of patients and waiting time was kept to a minimum. Staff told us all patients who requested an urgent appointment would be seen within 24 hours. They would see any patient in pain, extending their working day if necessary.

A practiced leaflet was available in reception to explain to patients about the services provided. The practice had made reasonable adjustments to accommodate patients with a disability or lack of mobility. Patients who had difficulty understanding care and treatment options were supported. The practice handled complaints in an open and transparent way and apologised when things went wrong.

Well-led

No action required

Updated 9 July 2015

We found that this practice was providing well-led care in accordance with the relevant regulations.

Staff felt supported and empowered to make suggestions for the improvement of the practice. There was a culture of openness and transparency. Staff at the practice were supported to complete training for the benefit of patient care and for their continuous professional development.

There was a pro-active approach to identify safety issues and make improvements in procedures. There was candour, openness, honesty and transparency amongst all staff we spoke with. A range of clinical and non-clinical audits were taking place.

The practice sought the views of staff and patients. Health and safety risks had been identified which were monitored and reviewed regularly.