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Inspection carried out on 19 April 2017

During a routine inspection

We carried out this announced inspection on 19 April 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We told the NHS England area team and Healthwatch that we were inspecting the practice. They did not have any relevant information to share with us regarding this dental 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 form the framework for the areas we look at during the inspection.

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

Wright Dental Practice is located in premises situated in the north Nottinghamshire town of Worksop. The practice provides both NHS and private treatment to patients of all ages.

There is ramped access for patients to the front door which makes access easy for people who use wheelchairs and pushchairs. There is short stay car parking close to the practice including parking for patients with a recognised disability.

The dental team includes seven dentists including one foundation dentist (a newly qualified dentist working to gain experience); one hygiene therapist; nine qualified dental nurses; two trainee dental nurses; three receptionists; one scrub nurse and one practice manager. The practice has eight treatment rooms, four of which are on the ground floor.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 registered manager at Wright Dental Practice was the principal dentist.

On the day of inspection we collected ten CQC comment cards filled in by patients and spoke with three other patients. This information gave us a positive view of the practice.

During the inspection we spoke with four dentists, one therapist, five dental nurses, two receptionists and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open: Monday to Friday: 8:30 am to 5:30 pm.

Our key findings were:

  • The practice was clean and well maintained.
  • The practice had infection control procedures which followed published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risks in the practice, particularly with regard to health and safety.
  • The practice had suitable safeguarding processes and staff had been trained and knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took steps to protect their privacy and personal information.
  • The appointment system met patients’ needs. Patients said they could get an appointment that suited them.
  • The practice had effective leadership. Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice dealt with complaints positively and efficiently.

Inspection carried out on 27 February 2013

During a routine inspection

We used a number of different methods to help us reach a judgement on this service. These including talking with three patients using the service, three members of the staff team, one dentist and the practice manager. We also looked at records. These included treatment plans, records of meetings and information about how the service operated. We looked at information from surveys and audits undertaken by the provider to assess the quality of the service. We also observed two patients receiving dental treatment.

We saw that the practice had seven surgeries located on two floors and enjoyed the services of six full and part time dentists and a dental therapist.

Patients we spoke with said they were fully involved in their care and treatment options; felt it was delivered in a safe way and that the practice was clean and hygienic. One patient we spoke with said, "It’s brilliant, absolutely brilliant."

We observed members of staff interacting with patients in courteous, polite and efficient manner.

Patients’ diversity and needs were considered and suitable arrangements made to cater for them.

We saw that the practice had a clear infection control policy and that staff were fully aware of it and knew how it should be implemented.

Staff were encouraged to develop their skills and undertake appropriate training to help deliver safe and effective care to patients.