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Mydentist - Ewell Road - Surbiton Also known as mydentist

The partners registered to provide this service have changed - see old profile

Inspection Summary


Overall summary & rating

Updated 4 February 2016

We carried out an announced comprehensive inspection on 17 December 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

Mydentist – Ewell Road – Surbiton is a dental practice located in the London Borough of Kingston-upon-Thames. The premises are situated in a converted residential building with treatment rooms on the ground and first floors. There are seven treatment rooms, a dedicated decontamination room, a waiting room with reception area, a staff room, an administrative office, and three toilets.

The practice provides NHS and private services to adults and children. The practice offers a range of dental services including routine examinations and treatment, veneers and crowns and bridges.

The staff structure of the practice consists of six dentists, a hygienist, a head dental nurse, three other dental nurses, a practice manager and three receptionists.

The practice opening hours are on Monday from 8.00am to 5.00pm, Tuesday and Wednesday from 7.00am to 5.00pm (and every other Tuesday until 7.00pm), Thursday from 7.00am to 7.30pm, Friday from 7.00am to 5.00pm and Saturday from 9.00am to 4.00pm.

The practice manager was in the process of applying to become a registered manager at the time of the inspection. A registered manager is a person who is registered with the 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 dental specialist advisor.

Eight people provided feedback about the service. Patients were positive about the care they received from the practice. They were complimentary about the friendly and caring attitude of the dental staff.

Our key findings were:

  • Patients’ needs were assessed and care was planned in line with current guidance such as from the National Institute for Health and Care Excellence (NICE).

  • There were effective systems in place to reduce and minimise the risk and spread of infection.
  • The practice had effective safeguarding processes in place and staff understood their responsibilities for safeguarding adults and children living in vulnerable circumstances.
  • Staff knew how to report incidents and forms were available to keep a record of any incident which could be used by the practice used for shared learning.
  • Equipment, such as the air compressor, autoclave (steriliser), fire extinguishers, and X-ray equipment had all been checked for effectiveness and had been regularly serviced.
  • Patients indicated that they felt they were listened to and that they received good care from a helpful and caring practice team.
  • The practice ensured staff maintained the necessary skills and competence to support the needs of patients.
  • The practice had implemented clear procedures for managing comments, concerns or complaints.
  • The provider had a clear vision for the practice and staff told us they were well supported by the management team.
  • Governance arrangements and audits were effective in improving the quality and safety of the services.
Inspection areas

Safe

No action required

Updated 4 February 2016

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. There was a safeguarding lead and staff understood their responsibilities in terms of identifying and reporting any potential abuse. There were systems in place for identifying, investigating and learning from incidents relating to the safety of patients and staff members. The practice had policies and protocols, which staff were following, for the management of infection control, medical emergencies and dental radiography. We found the equipment used in the practice was well maintained and checked for effectiveness.

Effective

No action required

Updated 4 February 2016

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, for example, from the General Dental Council (GDC)

. 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 had engaged in continuous professional development (CPD) and were meeting all of the training requirements of the General Dental Council (GDC). Staff had received appraisals within the past year to discuss their role and identify additional training needs.

Caring

No action required

Updated 4 February 2016

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 by speaking with patients on the day of the inspection. Patients felt that the staff were kind and caring; they told us that they were treated with dignity and respect at all times. We found that dental care records were stored securely and patient confidentiality was well maintained.

Responsive

No action required

Updated 4 February 2016

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

The needs of people with disabilities had been considered and there was level access to the waiting area and one of the treatment rooms on the ground floor. Patients were invited to provide feedback via the practice website and through the use of the NHS ‘Friends and Family Test’. Patients generally had good access to appointments, including emergency appointments, which were available on the same day.

There was a complaints policy in place and we saw that complaints received in the past year had been acted on in line with this policy. The practice manager had carried out relevant investigations and recorded the outcome of these.

Well-led

No action required

Updated 4 February 2016

We found that this practice was providing well-led care in accordance with

the relevant regulations.

The current provider had taken over the running of the practice in 2014. They had implemented clear clinical governance and risk management structures. A system of audits was used to monitor performance.

Staff described an open and transparent culture where they were comfortable raising and discussing concerns with management team. They were confident in the abilities of the management team to address any issues as they arose.