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Archived: The Dental Implant Centre

Inspection Summary


Overall summary & rating

Updated 24 December 2015

We carried out an announced comprehensive inspection on 18 August 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

The Dental Implant Centre is a dental practice that provides private dental care. The practice specialise in providing dental implants, but provides general dental services to people in an emergency. The practice treats adult patients from a range of cultures and backgrounds.

The practice has one principal dentist who is also the registered manager and owner. They work at the practice four days a week and four associate dentists provide treatment one day a week in rotation or when requested by a patient. In addition, the practice has one dental nurse, who is also the practice manager and a receptionist.

The practice opening hours were: Monday to Friday – 9.00am to 5:00pm.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. 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.

We viewed 10 Care Quality Commission (CQC) comment cards that had been completed by patients, about the services provided. All had positive comments about the staff and the services provided. In addition, we spoke with three patients who all provided positive feedback about the practice and the dental treatment they had received. Comments particularly focussed on the caring nature of the staff and the quality of the service provided.

Our key findings were:

  • The practice recorded and analysed significant events and complaints and shared learning with staff.
  • Staff had received safeguarding training and knew the procedures to follow to raise any concerns.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Staff had been trained to handle emergencies. Appropriate medicines and life-saving equipment were readily available.
  • Infection control procedures were in place and the practice followed the related guidance.
  • Patients’ care and treatment was planned and delivered in line with evidence based guidelines, good practice and current legislation.
  • Patients received clear explanations about their proposed treatment, costs, options and risks and were involved in making decisions.
  • Patients were treated with dignity and respect and confidentiality was maintained.
  • The appointment system met the needs of patients and waiting times were kept to a minimum.
  • The practice was well-led and staff worked as a team.
  • The practice sought feedback from staff and patients about the services they provided

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

  • Review the practices’ current Legionella risk assessment giving due regard to guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices and The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’

  • Review its audit protocols to ensure audits of various aspects of the service, including on infection control are undertaken at regular intervals to help improve the quality of service. Practice should also ensure all audits have documented learning points and the resulting improvements can be demonstrated.

  • Review the protocols and procedures for use of X-ray equipment giving due regard to Guidance Notes for Dental Practitioners on the Safe Use of X-ray Equipment.
Inspection areas

Safe

No action required

Updated 24 December 2015

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

The practice had effective systems and processes in place to ensure all care and treatment was carried out safely. Significant events and accidents were recorded, investigated and analysed.

Staff had received training in safeguarding and knew the signs of abuse and who to report them to. There were recruitment and induction procedures in place and staff were trained and skilled to meet patient’s needs.

The practice had infection control procedures and staff had received training. Radiation equipment was suitably sited and used by trained staff only. However, improvements could be made to ensure all necessary checks were being undertaken at regular intervals in accordance with current guidelines. We were assured by the principal dentist after the inspection that necessary steps had been taken and an external advisor booked to undertake as a priority the required checks.

Emergency medicines in use at the practice were stored safely and securely, and checked to ensure they did not go beyond their expiry dates. Sufficient quantities of equipment were in use at the practice and serviced and maintained at regular intervals.

Effective

No action required

Updated 24 December 2015

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

the relevant regulations.

The practice provided evidence-based care in accordance with relevant, published guidance.

The practice monitored patients’ oral health and gave appropriate health promotion advice. Staff explained treatment options to ensure that patients could make informed decisions about any treatment. The practice worked well with other providers and followed up on the outcomes of referrals made to other providers.

Staff engaged in continuous professional development (CPD) and were meeting the training requirements of the General dental council (GDC).

Caring

No action required

Updated 24 December 2015

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

the relevant regulations.

We received positive feedback from patients through comment cards and discussions on the day of the inspection

.

Staff at the practice treated patients with dignity and respect and maintained their privacy.

Patients said they were able to ask questions when staff explained treatment options to them. The cost of any treatment was identified and explained before treatment began.

We found that dental care records were stored securely and patient confidentiality was well maintained.

Responsive

No action required

Updated 24 December 2015

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

Patients were able to access treatment in an emergency, and there were arrangements in place for patients to receive alternative emergency treatment when the practice was closed.

There was a complaints policy which was displayed in the waiting area and patients were invited to provide feedback via a feedback form situated in the waiting area.

Well-led

No action required

Updated 24 December 2015

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

The practice had good governance and management arrangements in place. They had arrangements in place for monitoring and improving the services provided for patients. Regular checks and audits were completed to ensure the practice was safe and patients’ needs were being met. There was a full range of policies and procedures to ensure the practice met patients’ needs.

Staff described an open and transparent culture where they were comfortable raising and discussing concerns with the principal dentist.