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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Updated 24 September 2015

We carried out an announced comprehensive inspection on 29 June 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

Abbey Dental South Harrow is located in Harrow, North West London. The practice provides NHS and private dental services and treats both adults and children. The practice offers a wide range of dental services including general, cosmetic, restorative and preventive dentistry.

The staff structure of the practice is comprised of four dentists, two hygienists, two dental nurses, a practice manager and a small team of receptionists.

The practice is open Monday to Friday from 9.00am to 5.30 pm and closes for lunch from 1.00 pm to 2.00 pm.

The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission (CQC) 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 and a dentist specialist advisor.

We received 45 CQC comment cards completed by patients and spoke with three patients during our inspection visit. Patients we spoke with, and those who completed comment cards, were positive about the care they received from the practice. They were complimentary about the friendly and caring attitude of the staff.

Our key findings were:

  • Patients’ needs were assessed and care was planned in line with national guidance, such as from the National Institute for Health and Care Excellence (NICE) and the Faculty of General Dental Practice (FGDP).

  • Equipment, such as the air compressor, autoclave, washer disinfector, fire extinguishers, oxygen cylinder, Automated External Defibrillator (AED) and X-ray equipment had all been checked for effectiveness and had been regularly serviced.

  • The practice ensured staff maintained the necessary skills and competence to support the needs of patients including mandatory training and annual appraisal.

  • Patients reported that they felt they were listened to and that they received good care from a helpful and respectful practice team.

  • The practice had implemented clear procedures for managing comments, concerns or complaints, proactively sought feedback from patients and staff and acted on it to improve the service provided.

  • There was a clear vision for the practice and staff told us they were well supported by the management team.

  • There were governance arrangements in place and the practice effectively used audits to monitor and improve the quality of care provided.

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

  • Review the practice’s infection control procedures and protocols 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’
Inspection areas

Safe

No action required

Updated 24 September 2015

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

The practice had systems in place to minimise the risks associated with providing dental services. The practice had policies and protocols related to the safe running of the service. Staff were aware of these and were following them. There was a safeguarding lead and staff understood their responsibilities in terms of identifying and reporting any potential abuse. Equipment was well maintained and checked for effectiveness. The practice had systems in place for the management of infection control and waste disposal, management of medical emergencies and dental radiography.

Effective

No action required

Updated 24 September 2015

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

The practice demonstrated that they followed relevant guidance, for example, issued by the National Institute for Health and Care Excellence (NICE) and the Faculty of General Dental Practice (FGDP). 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. There were systems in place for recording written consent for treatments. The practice maintained appropriate dental care records and details were updated appropriately. The practice referred patients to other health care professionals when necessary.

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 September 2015

We found that this practice was providing caring services in accordance with the relevant regulations. Feedback from patients highlighted that they were treated with dignity and respect. Patients said there was a positive and caring attitude amongst the staff. We found that dental care records were stored securely and patient confidentiality was well maintained.

Responsive

No action required

Updated 24 September 2015

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

Patients were satisfied with access to appointments, including emergency appointments, which were available on the same day. Members of staff spoke a range of languages which supported good communication between staff and patients. The needs of people with disabilities had been considered in terms of accessing the service. Patients were invited to provide feedback via satisfaction surveys, including the use of the ‘NHS Friends and Family Test’, and a suggestion box in the reception area. There was a clear complaints procedure and information about how to make a complaint was displayed in the waiting area. Complaints were responded to in a timely way.

Well-led

No action required

Updated 24 September 2015

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

There were good clinical governance and risk management systems in place. There were regular staff meetings and systems for obtaining patient feedback. We saw that feedback from staff or patients had been carefully considered and appropriately responded to. The practice had a clear vision and a mission statement in place. The mission statement was shared and understood by all members of staff. Staff felt well supported and confident about raising any issues or concerns with the practice manager.