Archived: Wistaria Dental Practice

Updated 28 September 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We carried out an announced, comprehensive inspection on 19 July 2016. The inspection was led by a CQC inspector who had access to remote advice from a specialist advisor.

We reviewed information received from the provider prior to the inspection. During our inspection we reviewed policy documents and spoke with six members of staff (one dentist, the practice manager, two additional dental nurses/receptionists, one dental nurse trainee and one dental hygienist). We conducted a tour of the practice and looked at the storage arrangements for emergency medicines and equipment. A dental nurse demonstrated how they carried out decontamination procedures of dental instruments.

Thirty patients provided feedback about the service. We also saw three written comments about the practice and the most recent practice survey results from 19 patients. Patients were positive about the care they received from the practice. They were complimentary about the friendly, professional and caring attitude of the dental staff. Patients commented that they were likely to recommend the practice.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 28 September 2016

We carried out an announced comprehensive inspection on 19 July 2016 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.

Background

Wistaria Dental Practice is located in the market town of Crediton, Devon. The practice provides Primary Dental Care services for people who require dental procedures. The practice provides private patient care. There are two dental surgeries situated on the ground floor of the premises with level access from the street. Approximately 1,500 patients are registered at the practice. The majority of patients are adults.

The staff structure of the practice consists of one dentist and two dental hygienists. There is a practice manager, two dental nurses and a trainee dental nurse. Dental nurses also act as reception staff. The practice also employs an oral health educator.

The practice is open from Monday to Thursday, with Saturday morning sessions on one day per month. Clinical sessions are not available on Fridays; however the practice reception opens between 9am to 12pm on Fridays. There is an answerphone message directing patients to emergency contact numbers when the practice is closed.

The owner and 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.

The inspection took place over one day and was carried out by a CQC inspector who had access to remote advice from a specialist advisor.

Thirty patients provided feedback directly to CQC about the service. Twenty nine patients were positive about the care they received from the practice. They were complimentary about the friendly, professional and caring attitude of the dental staff and the dental treatment they had received. Negative feedback was received from an anonymous source. We looked into these concerns raised regarding cleanliness and staff attitudes and found the concerns were unsubstantiated.

Our key findings were:

• Patients’ needs were assessed and care was planned in line with current guidance such as from the National Institute for Health and Care Excellence (NICE).
• There were effective systems in place to reduce and minimise the risk and spread of infection.
• There was a lead staff member for safeguarding patients. All staff understood their responsibilities for safeguarding adults and children living in vulnerable circumstances.
• Equipment, such as the air compressor, autoclave (steriliser), fire extinguishers, and X-ray equipment had all been checked for effectiveness and had been regularly serviced.
• There was appropriate equipment for staff to undertake their duties, and equipment was well maintained.
• Patients indicated that they felt they were listened to and that they received good care from the practice team.
• The practice had implemented clear procedures for managing comments, concerns or complaints.
• Patients could access treatment and urgent and emergency care when required.
• Patients could book appointments up to 12 months in advance.
• Appointment text/phone reminders were available on request 48 hours prior to appointments.
• Patients benefitted from access to an oral health educator on the premises.
• The provider had a clear vision for the practice and staff told us they were well supported by the management team.

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

• Review at appropriate intervals the training, learning and development needs of individual staff members and have an effective process established for the on-going assessment of all staff.
• Review the practice's recruitment policy and procedures to ensure character references for new staff are requested and recorded suitably.
• Review the governance processes for formally recording and communicating outcomes from internal staff meetings effectively.
• Develop systems to publicise the action taken by the practice as a result of patient feedback.