You are here

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Updated 5 July 2017

We carried out this announced inspection on 15 June 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 Cheshire and Merseyside area team and Healthwatch that we were inspecting the practice. We did not receive any information of concern from them.

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

Wentworth Dental Practice is close to the centre of Wilmslow and provides treatment to patients of all ages on an NHS or privately funded basis.

There are steps at the front entrance to the practice with a handrail positioned alongside to assist patients with limited mobility. The provider has also installed a ramp to facilitate access to the practice for wheelchair users and for pushchairs. Car parking is available outside the practice.

The dental team includes five dentists, one dental hygienist / therapist, three dental nurses and one receptionist. The practice has three treatment rooms. The team is supported by an operations manager.

The practice is owned by a company and as a condition of registration must have in place a person registered with the Care Quality Commission as the registered manager. Registered managers have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. At the time of the inspection the practice did not have a registered manager in post.

We received feedback from 28 people during the inspection about the services provided. The feedback provided was positive about the practice.

During the inspection we spoke to two dentists, two dental nurses and the operations manager. We looked at practice policies, procedures and other records about how the service is managed.

The practice is open: Monday to Friday 8.45am to 5.00pm.

Our key findings were:

  • The practice was clean and well maintained.
  • The practice had infection control procedures in place which reflected published guidance.
  • Staff knew how to deal with emergencies. Medical emergency medicines and equipment were available.
  • The practice had safeguarding processes in place and staff knew their responsibilities for safeguarding adults and children.
  • Staff provided patients’ care and treatment in line with current guidelines.
  • The practice had a procedure in place for dealing with complaints.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The appointment system took patients’ needs into account. Dedicated emergency appointments were available.
  • The practice had a leadership structure. Staff felt involved and supported and worked well as a team.
  • The practice asked patients and staff for feedback about the services they provided.
  • The practice had systems in place to help them manage risk. Improvements could be made to measures for mitigating risk.
  • The practice had staff recruitment procedures in place. Minor improvements could be made to these.

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

  • Review the practice’s system for the recording, investigating and reviewing of incidents and significant events with a view to preventing further occurrences.
  • Review the practice’s systems for assessing, monitoring and mitigating the various risks arising from undertaking of the regulated activities, specifically in relation to Legionella, and to staff immunity to the Hepatitis B virus.
  • Review the protocol for completing accurate, complete and detailed records relating to the employment of staff. This includes making appropriate notes of verbal references taken and ensuring recruitment checks, including references, are suitably obtained and recorded.
  • Review the practice’s systems to ensure staff are up to date with their training and continuing professional development.
  • Review the practice’s audit protocols to ensure they include documented learning points where appropriate, and the resulting improvements can be demonstrated.
Inspection areas

Safe

No action required

Updated 5 July 2017

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

The practice had systems and processes in place to provide safe care and treatment.

Staff received training in safeguarding and knew how to recognise the signs of abuse and how to report concerns.

The premises and equipment were clean and properly maintained. The practice followed national guidance for cleaning, sterilising and storing dental instruments.

The practice had suitable arrangements for dealing with medical and other emergencies.

No procedures were in place to record and learn from incidents and complaints.

The practice completed most essential recruitment checks before employing staff. We found that inor improvements could be made to recruitment procedures.

The practice had systems in place to assess, monitor and mitigate risks but these could be improved.

Effective

No action required

Updated 5 July 2017

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

the relevant regulations.

The dentists assessed patients’ needs and provided care and treatment in line with recognised guidance. Patients described the treatment they received as first class. The dentists discussed treatment with patients so they could give informed consent and recorded this in their records.

The practice had clear arrangements when patients needed to be referred to other dental or health care professionals.

The practice supported staff to complete training relevant to their roles. The practice did not have a system in place to monitor training.

Caring

No action required

Updated 5 July 2017

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

the relevant regulations.

Patients were positive about all aspects of the service. They told us staff were caring, friendly and welcoming. They said that they were given helpful, honest explanations about dental treatment and options and that the dentists listened to them. Patients commented that staff made them feel at ease, especially when they were anxious about visiting the dentist.

We saw that staff protected patients’ privacy and were aware of the importance of confidentiality.

Patients said staff treated them with dignity and respect.

Responsive

No action required

Updated 5 July 2017

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

The practice’s appointment system took account of patients’ needs. Patients could obtain an appointment quickly in an emergency.

The practice had access to interpreter services.

Staff considered patients’ individual needs and made reasonable adjustments to meet these. This included providing facilities for patients with disabilities.

Staff responded to concerns and complaints quickly.

Well-led

No action required

Updated 5 July 2017

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

The practice had arrangements in place to ensure the smooth running of the service. These included systems for the practice team to review the quality and safety of the care and treatment provided.

There was a clearly defined management structure and staff felt supported and appreciated.

The practice team kept accurate patient dental care records which were stored securely.

The practice monitored clinical and non-clinical areas of their work to help them improve and learn. This included asking for and listening to the views of patients and staff. Improvements could be made to the auditing process to help improve the quality of the service.