Archived: Paulsgrove Dental Care

Updated 14 January 2016

We carried out an announced, comprehensive inspection on 26 October 2015.

The inspection was carried out by a lead inspector, a second inspector and a dental specialist adviser.

We informed NHS England area team that we were inspecting the practice, however there were no immediate concerns from them.

During our inspection visit, we reviewed policy documents and staff records. We spoke with six members of staff, including the management team. We conducted a tour of the practice and looked at the storage arrangements for emergency medicines and equipment. We were shown the decontamination procedures for dental instruments and computer system that supported the patient treatment records and patient dental health education programme. We reviewed five comment cards completed by patients and spoke with three patients.

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 14 January 2016

We carried out an announced comprehensive inspection on 26 October 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.

Background

Paulsgrove Dental Care is under the umbrella of a corporate provider. The dental practice provides mainly NHS and some private treatment and caters for both adults and children. The practice employs a dentist and four supporting staff.

The practice is situated in a shared NHS trust health centre. The practice has one dental treatment room and a separate decontamination room for cleaning, sterilising and packing dental instruments and a reception and waiting area.

The practice manager 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.

Before the inspection we sent Care Quality Commission comment cards to the practice for patients to complete to tell us about their experience of the practice. We collected five completed cards and spoke to three patients. These provided a positive view of the services the practice provides.

We carried out an announced comprehensive inspection on 26 October 2015 as part of our planned inspection of all dental practices. The inspection took place over one day and was carried out by a lead inspector, a second inspector and a dental specialist adviser.

Our key findings were:

• Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment was readily available in accordance with current guidelines.
• Patients’ needs were assessed and care was planned and delivered in line with current professional guidelines
• The practice was visibly clean and well maintained.
• Infection control procedures were robust and the practice followed published guidance.
• The practice had effective safeguarding processes in place for safeguarding adults and children living in vulnerable circumstances.
• The practice had enough staff to deliver the service.
• Staff recruitment files were organised and complete.
• Staff had received training appropriate to their roles and were supported in their continued professional development (CPD).

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

• The reporting mechanism for needle stick injuries should be followed to demonstrate learning outcomes.