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Inspection Summary


Overall summary & rating

Updated 19 March 2015

The inspection took place on 15 January 2015 as part of our national programme of comprehensive inspections. This practice had not previously been inspected under the current ownership.

Andover Smile Centre provides private dental treatment to patients of all ages. The practice provides general dental services and specialist treatments such as orthodontics, implants and inhalation sedation. (This form of sedation is a mixture of anaesthetic gas and oxygen breathed through a nosepiece. This helps patients to feel relaxed and accept treatment). The practice team consists of the principal dentist, who is the registered manager, a part time dentist a visiting implantologist and two part time dental hygienists. The clinical team are supported by four dental nurses one of whom works as the practice receptionist.

The practice consists of two treatment rooms with a reception and waiting area in between. All patient areas are on the ground floor with access suitable for all patients. There is a ramp and flat access to the practice building; however the practice toilet cannot be accessed by patients who require the use of a wheelchair.

During our inspection we spoke with four patients and reviewed 22 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, efficient and professional staff. A number of patients commented on the sympathetic, understanding dentist who had helped them overcome their fears and to make them more relaxed patients.

Our key findings were:

  • The practice provided a clean well equipped environment
  • All staff were kind and caring in the way they dealt with patients
  • There was a regular schedule of staff meetings which included staff training.
  • Patients were able to make routine and emergency appointments when needed. There were clear instructions for patients regarding out of hours care.
  • There was clear leadership of the practice and staff told us they felt well supported and comfortable to raise concerns or make suggestions.

There were also areas where the provider could make improvements and should:

  • Ensure the Infection control policy is updated to reflect the registered name of the practice and the layout of the practice premises.
  • Provide staff with refresher training in safeguarding children and vulnerable adults to meet the requirements of their own practice training policy.
  • Complete the risk assessment for Legionella and initiate a programme of monitoring.
  • Complete a risk assessment in relation to dental hygienists working without dental nurse support.
Inspection areas

Safe

No action required

Updated 19 March 2015

The infection prevention and control practices at the practice followed current essential quality requirements. All equipment at the practice was regularly maintained, tested and monitored for safety and effectiveness.

The practice had the recommended medicines and equipment available to deal with a medical emergency should it occur; staff were trained to deal with such emergencies.

Care and treatment of patients was planned and delivered in a way that ensured their safety and welfare. Patients’ medical histories were taken and appropriate pre sedation checks were made before any treatment took place.

Effective

No action required

Updated 19 March 2015

The practice ensured that patients were given sufficient information about their proposed treatment to enable them to give informed consent.

Dental care records showed a systematic and structured approach to assessing and planning patient care and treatment. Patient recalls were planned according to National Institute for Health and Care Excellence (NICE) guidelines based on a checklist of risk factors, including oral health history, alcohol and tobacco use. Health education for patients was provided by the dentist and dental hygienists. They provided patients with advice to improve and maintain good oral health.

Caring

No action required

Updated 19 March 2015

Staff were caring and sensitive to the needs of their patients. Patients commented positively on the caring compassionate staff, describing them as friendly understanding and sympathetic.

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 19 March 2015

The practice offered same day appointments for any patient in an emergency.

The practice was responsive the needs of those patients who had high levels of anxiety. A number of patients commented on the way in which staff at the practice had helped them to become more relaxed about attending for treatment and in some cases overcome their fears. This had improved their dental health and encouraged them to have regular oral health checks.

Well-led

No action required

Updated 19 March 2015

The principal dentist with systems in place to maintain clinical governance. The practice had an audit plan and had audited aspects of the service to monitor the quality of the service and to identify areas for improvement.

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.