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Inspection Summary


Overall summary & rating

Updated 1 October 2015

We carried out an announced comprehensive inspection on 28 July 2015 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

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

Are services effective?

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

Are services caring?

We found that this practice was providing caring services in accordance with the relevant regulations

Are services responsive?

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

Are services well-led?

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

D&K Dental Care is situated in the Shirecliffe area of Sheffield. It offers mainly NHS treatment to patients of all ages but also offers private dental treatments. The services provided included preventative advice and treatment, routine restorative dental care, dental implants

The practice has two surgeries, a decontamination room, two waiting areas, a reception area and toilet facilities. Both surgeries and one waiting area are on the ground floor, the second waiting area is on the first floor.

There are three dentists and four dental nurses who all share reception duties on a rota basis.

The opening hours are Monday to Thursday 9-00am to 5-30pm and Friday 9-00am to 5-00pm.The practice owners are the registered managers. 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 the inspection we spoke with three patients who used the service and reviewed 52 completed CQC comment cards. Patients we spoke with and those who completed comment cards were positive about the care they received about the service.

Our key findings were:

  • The practice had systems in place to assess and manage risks to patients and staff including infection prevention and control, health and safety and the management of medical emergencies.
  • Dental care records were detailed and showed that treatment was planned in line with current best practice guidelines.
  • Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
  • Patients were able to access appointments in a timely manner.
  • Patients were treated with care, respect and dignity.

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

  • Take action to make sure that the dental light in the front surgery is fit for purpose
  • Take action to make sure that the dental chair in the back surgery is fit for purpose
  • Review the practices protocol for undertaking X-ray audits
Inspection areas

Safe

No action required

Updated 1 October 2015

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

Some equipment was not properly maintained. The upholstery on the dental chair in the back surgery was damaged and the dental light in the front surgery had damage to the casing.

Staff had received training in safeguarding and knew the signs of abuse and who to report them to.

The staff were suitably qualified for their roles and the practice had undertaken the relevant recruitment checks to ensure patient safety.

Patients’ medical histories were obtained before any treatment took place. The dentists were aware of any health or medication issues which could affect the planning of treatment. Staff were trained to deal with medical emergencies. All emergency equipment and medicines were in date and in accordance with the British National Formulary (BNF) and Resuscitation Council UK guidelines.

Effective

No action required

Updated 1 October 2015

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

Patients’ dental care records provided comprehensive information about their current dental needs and past treatment. The practice monitored any changes to the patient’s oral health and made referrals for specialist treatment or investigations where indicated.

The practice followed best practice guidelines when delivering dental care. These included Faculty of General Dental Practice (FGDP) and National Institute for Health and Care Excellence (NICE). The practice focused strongly on prevention and the dentists were aware of ‘The Delivering Better Oral Health’ toolkit (DBOH) with regards to fluoride application and oral hygiene advice.

Staff were supported to deliver effective care through training and supervisions. The clinical staff were up to date with their continuing their professional development (CPD) and they were supported to meet the requirements of their professional registration.

Caring

No action required

Updated 1 October 2015

We found that this practice was providing caring services in accordance with the relevant regulations.

We observed privacy and confidentiality were maintained for patients using the service on the day of the inspection. We looked at 32 CQC comment cards patients had completed prior to the inspection and spoke with three patients. Patients were positive about the care they received from the practice. They commented they were treated with compassion, kindness, respect and dignity while they received treatment.

We observed patients’ privacy and confidentiality were maintained at all times in the waiting room and reception area.

Staff explained that enough time was allocated in order to ensure that the treatment and care was fully explained to patients in a way which they understood.

Responsive

No action required

Updated 1 October 2015

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

There was a procedure in place for responding to patients’ complaints. This involved acknowledging, investigating and responding to individual complaints or concerns. Staff were familiar with the complaints procedure.

The practice had emergency appointment slots available each day. Patients commented that they were able to access emergency appointments when required. There were clear instructions available for patients who required emergency treatment outside opening hours.

Well-led

No action required

Updated 1 October 2015

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

There was a defined management structure in place and all staff felt supported and appreciated in their own particular roles. The practice owners were responsible for the day to day running of the practice and they were supported by a dental practice adviser.

The practice audited clinical and non-clinical areas as part of a system of continuous improvement and learning. There was a comment box in the waiting area and they were also undertaking the NHS Family and Friends Test.

There were good arrangements in place to share information with staff by means of six-weekly practice meetings which were minuted for those staff unable to attend.