22 October 2015
We carried out an announced comprehensive inspection on 8 September 2015. The inspection was led by a CQC inspector. They were accompanied by a specialist advisor.
The practice sent us their statement of purpose and a summary of complaints they had received in the last 12 months. We also reviewed further information on the day of the inspection.
We received 11 CQC comment cards completed by patients. We also spoke with four members of staff. We reviewed the policies, toured the premises and examined the cleaning and decontamination of dental equipment.
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 therefore formed the framework for the areas we looked at during the inspection.
22 October 2015
We carried out an announced comprehensive inspection on 8 September 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.
Royal Arsenal Dentists is located in the Royal Borough of Greenwich and provides private dental services. The demographics of the practice is mixture working professionals, families and older people.
The staff structure of the practice is comprised of a principal dentist, five dentist, two dental nurses one hygienist and one trainee dental nurses.
Facilities within the practice include three treatment rooms, a dedicated decontamination room, and a reception area.
The practice manager was the registered manager. A registered manager is a person who is registered with the Care Quality Commission 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 practice opening times were between 9:00 am to 8:00 pm Monday to Friday. The practice was also open on Saturdays from 9:00 am to 6:00 pm.
We reviewed 11 Care Quality Commission (CQC) comment cards that had been completed by patients attending in the practice in the two-week period prior to our inspection visit. Patients said they were given clear treatment options which were discussed in an easy to understand language by practice staff. Patients understood and consented to treatment.
Our key findings were:
- There were effective processes in place to reduce and minimise the risk and spread of infection.
- 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).
- Patients were involved in their care and treatment planning.
- There was appropriate equipment for staff to undertake their duties and equipment was well maintained.
- Patients told us that staff were caring and treated them with dignity and respect.
- There were processes in place for patients to give their comments and feedback about the service including making complaints and providing compliments.
- There was a clear vision for the practice. Governance arrangements were in place for the smooth running of the practice.
There were areas where the provider could make improvements and should:
- Review availability of equipment to manage medical emergencies giving due regard to guidelines issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team.