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Inspection Summary


Overall summary & rating

Updated 19 December 2016

We carried out an announced comprehensive inspection on 9 November 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.

Background

Aughton Dental Practice is located in the village of Aughton and provides a range of dental treatments, including implants, crowns, dentures and tooth whitening. The practice has been a member of the British Dental Association Good Practice Scheme for ten years and attained the Silver Award in 2013.

The surgery and facilities are all on the ground floor and includes four surgeries a reception and waiting area. The premises has been adapted to accommodate wheelchair users, including access to the premises, toilet facilities, widened corridors, a lowered reception desk and a special chair that enables treatment to be carried out in a more upright position. There are two parking spaces to the front of the surgery with additional parking available about 100 metres away.

The practice is open 9:00am to 5:00pm Monday to Friday and opens later until 7.00pm each Wednesday.

The practice is registered with the Care Quality Commission (CQC) as a partnership. Like registered providers, the partners 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.

Our key findings were

  • Patients were pleased with the care and treatment they received at the practice.
  • Feedback from patients highlighted the practice supported patients to make decisions based on the treatment options available.
  • Staff demonstrated a patient-centred approach in the way they worked and showed commitment to providing a quality service to their patients.
  • Well organised governance arrangements were in place at the practice.
  • Staff said they were well supported and the team worked well together.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • The practice had systems and resources in place to assess and manage risks to patients and staff including, infection prevention and control, health and safety and the management of medical emergencies.
  • Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
  • The practice was exceptionally clean, clutter-free and well maintained.
  • Patient's needs were assessed and care was planned and delivered in line with current professional guidelines.
  • The practice had effective safeguarding processes in place and staff understood their responsibilities for safeguarding vulnerable adults and children.
  • Staff had received training appropriate to their roles and were supported in their continued professional development (CPD).
  • A policy and process was in place for managing complaints.

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

  • In relation to 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, review the arrangements for the use and storage of environmental cleaning equipment. In addition, review the arrangements for

    infection control audits to ensure they are undertaken bi-annually.

  • Review the practice's process to ensure X-ray equipment is regularly serviced.

  • Review the protocol for completing accurate, complete and detailed records relating to employment of staff. This includes making appropriate notes of verbal reference taken and ensuring recruitment checks, including references, are suitably obtained and recorded.
  • Review the availability of an interpreter service for patients who do not speak English as their first language.
Inspection areas

Safe

No action required

Updated 19 December 2016

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

the relevant regulations.

A process was in place for managing significant events. Staff were aware of the importance of identifying, investigating and learning from patient safety incidents.

There were sufficient numbers of suitably qualified staff working at the practice. A recruitment policy was in place. References had not been sought for staff as part of the recruitment process.

Staff had received safeguarding training and they were aware of their responsibilities regarding safeguarding children and vulnerable adults.

Comprehensive infection prevention and control policies were in place. An infection prevention and control audit had been being carried out annually and not six monthly as recommended.

The environmental cleaning equipment did not meet national guidance.

The servicing of the x-ray equipment was two months overdue. The practice manager confirmed that a date had been set for the service to take place.

Effective

No action required

Updated 19 December 2016

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

Dental care provided was based on current best practice and focussed on the needs of the individual patient.

The team worked well together and there was evidence of good communication with other dental professionals.

The staff received professional training and development appropriate to their roles and learning needs. Staff received an annual appraisal.

Staff were registered with the General Dental Council (GDC) and were meeting the requirements of their professional registration.

Consent to treatment was obtained from patients and staff were familiar with the principles of the Mental Capacity Act (2005).

Caring

No action required

Updated 19 December 2016

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

the relevant regulations.

We collected 48 completed CQC patient comment cards and obtained the views of a patient on the day of our visit. All of the patients commented that the quality of care was very good. Patients commented on the friendliness and helpfulness of the staff, and said the dentists involved them in making choices about their treatment options.

Responsive

No action required

Updated 19 December 2016

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

The service was aware of the needs of the local population and took those these into account in how the practice was run.

Patients could access treatment and urgent and emergency care when required.

The practice had been modified to accommodate the needs of people with mobility needs. This included ramp access to the premises, a lowered reception area, accessible toilet and special upright dental chair.

The practice did not have access to a translation service for patients whose first language was not English.

Well-led

No action required

Updated 19 December 2016

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

The practice manager was responsible for the day to day running of the practice.

There was a clearly defined management structure in place and all staff felt supported and in their roles. Staff said there was an open culture at the practice and they felt confident raising any concerns.

The practice held regular staff meetings, which provided an opportunity to openly share information and discuss any concerns or issues at the practice

The practice undertook a wide-range of audits to monitor their performance and help improve the services offered. The audits included a prescribing audit, X-rays and dental care record audits.

The practice conducted patient satisfaction surveys through-out the year and this was collated and fed back to staff and patients.