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Archived: Goodwood Court Dental Surgery

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Reports


Inspection carried out on 7 November 2018

During an inspection to make sure that the improvements required had been made

We undertook a focused inspection of Goodwood Court Dental Surgery on 7 November 2018. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a CQC inspector who was supported remotely by a specialist dental adviser.

We had undertaken a comprehensive inspection of Goodwood Court Dental Surgery on 19 July 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care in accordance with the relevant regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Goodwood Court Dental Practice on our website www.cqc.org.uk.

When one or more of the five questions are not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

As part of this inspection we asked:

• Is it well-led?

Our findings were:

Are services well-led?

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

The provider had made improvements in relation to the regulatory breaches we had found at our previous inspection on 19 July 2018.

Background

Goodwood Court Dental Surgery is in Hove, East Sussex and provides NHS and private treatment to adults and children.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces for blue badge holders are available outside the practice.

The dental team includes the principal dentist, one dental nurse and one trainee dental nurse. Both nurses perform dual roles as receptionist. The practice has one treatment room.

The practice is owned by an individual who is the principal dentist there. They 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 the principal dentist and one dental nurse. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

  • Monday to Friday from 8.30am to 5.30pm
  • Saturday from 9am to 1pm (one Saturday a month by appointment only)

Our key findings were:

  • The practice was providing care and treatment in a safe way to patients
  • The practice had implemented effective systems and processes to ensure good governance which can be sustained in the longer term, in accordance with the fundamental standards of care.
  • Patients’ dental care records were stored securely and patients’ confidentiality was maintained.
  • Prescription pads were securely stored and systems were in place to track and monitor their use.

Inspection carried out on 19 July 2018

During a routine inspection

We carried out this unannounced inspection on 19 July 2018 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.

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 not providing well-led care in accordance with the relevant regulations.

Background

Goodwood Court Dental Surgery is in Hove, East Sussex and provides NHS and private treatment to adults and children.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces for blue badge holders are available outside the practice.

The dental team includes the principal dentist, one dental nurse and one trainee dental nurse who performs a dual role as receptionist. The practice has one treatment room.

The practice is owned by an individual who is the principal dentist there. They 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 the principal dentist. Neither the dental nurse, nor the trainee dental nurse were present during the inspection but were contacted via telephone. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

  • Monday to Friday from 8.30am to 5.30pm
  • Saturday from 9am to 1pm (one Saturday a month by appointment only)

Our key findings were:

  • The practice was providing preventive care and supporting patients to ensure better oral health.
  • The practice required improvements to ensure that it appeared clean and well maintained.
  • The practice had infection control procedures although we noted that the storage of dental instruments did not always reflect published guidance.

  • The practice staff had some safeguarding processes although we noted that not all staff had received training in safeguarding vulnerable adults and children.
  • The practice had staff recruitment procedures although improvements were required to ensure that documentation for each staff member reflected the information specified in Schedule 3 of the Health and Social Care Act 2008.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect although improvements were required to ensure that staff took care to protect their personal information.

  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risk although improvements were required to ensure that these were always kept updated.
  • The practice staff had some safeguarding processes although we noted that not all staff had received training in safeguarding vulnerable adults and children.
  • The practice had staff recruitment procedures although improvements were required to ensure that documentation for each staff member reflected the information specified in Schedule 3 of the Health and Social Care Act 2008.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect although improvements were required to ensure that staff took care to protect their personal information.
  • The practice was providing preventive care and supporting patients to ensure better oral health.
  • The appointment system met patients’ needs.
  • The practice had undergone a change in management and was working to develop effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice staff dealt with complaints positively and efficiently.
  • The practice staff had information governance arrangements.

We identified regulations the provider was not complying with. They must:

  • Ensure care and treatment is provided in a safe way to patients
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

There were areas where the provider could make improvements. They should:

  • Review the practice’s arrangements for ensuring good governance and leadership are sustained in the longer term.
  • Review the practice's storage of dental care records to ensure they are stored securely.
  • Review the security of NHS prescription pads in the practice and ensure there are systems in place to track and monitor their use.

Inspection carried out on 3 February 2016

During a routine inspection

We carried out an announced comprehensive inspection on 3 February 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.

Goodwood Court Dental Surgery is a general dental practice in Hove, East Sussex, offering NHS and private dental treatment to adults and children.

The practice is situated in the centre of Hove on the outskirts of Brighton. The practice has one treatment room, a decontamination area for the cleaning, sterilising and packing of dental instruments and a waiting/reception area. The entrance to the practice is located within Goodwood Court Medical Centre on the lower ground floor. The practice is contained on one floor and there is ramp access at the front of the building.

The practice is open Monday to Thursday 8.00am to 5.00pm and 8.00am to 1.00pm on Fridays.

Goodwood Court Dental Surgery has two dentists, one trainee dental nurse and a practice manager.

Our key findings were:

  • There were systems in place to reduce the risk and spread of infection. The practice was visibly clean and well maintained.
  • There were systems in place to check all equipment had been serviced regularly, including the steriliser, fire extinguishers, oxygen cylinder and the X-ray equipment.
  • The practice had effective systems in place to gain the comments and views of people who used the service.
  • Patients were satisfied with the treatment they received and were complimentary about staff at the practice.
  • Staff had received training appropriate to their roles and were supported in their continued professional development (CPD).
  • We observed that staff showed a caring and attentive approach towards patients. All patients were recognised and greeted warmly on arrival at reception.
  • The practice had effective safeguarding processes in place and staff understood their responsibilities for safeguarding adults and children.
  • Staff were proud of the practice and their team. Staff felt well supported and were committed to providing a quality service to their patients.

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

  • Establishing an effective process for the on-going appraisal and supervision of all staff and review at appropriate intervals the training, learning and development needs of individual staff members.
  • Reviewing the practice’s protocols for the use of rubber dam for root canal treatment giving due regard to guidelines issued by the British Endodontic Society.
  • Arranging Mental Capacity Act 2005 training for relevant members of staff.
  • Routinely recording the type, dose, batch and expiry dates of local anaesthetic used to treat patients.