Background to this inspection
Updated
17 February 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
We informed NHS England area team and Healthwatch that we were inspecting the practice; we received some information of concern from them in regards to record keeping and they were working with the practice to resolve this.
During the inspection we spoke with the locum dentist, registered provider, the registered manager, a dental nurse and a receptionist. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
These questions therefore formed the framework for the areas we looked at during the inspection.
Updated
17 February 2017
We carried out a follow- up inspection at Bridlington Dental Centre on the 27 January 2017.
We had undertaken an announced comprehensive inspection of this service on the 3 November 2016 as part of our regulatory functions where breaches of legal requirements were found.
After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to each of the breaches. This report only covers our findings in relation to those requirements.
We reviewed the practice against all of the five questions we ask about services: is the service safe, effective, caring, responsive and well led? You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Bridlington Dental Centre on our website at www.cqc.org.uk.
We revisited the Bridlington Dental Centre as part of this review and checked whether they had followed their action plan and to confirm that they now met the legal requirements.
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
Bridlington Dental Centre is situated in Bridlington town centre, East Riding of Yorkshire. The practice offers NHS and a small amount of private dental treatments including preventative advice and general dentistry.
The practice has one surgery, a decontamination room, a waiting area, a reception area and a patient toilet. All facilities are located on the first floor of the premises. There are also staff facilities available.
Wheelchair users or pushchairs could not access the practice so referrals were made to local services with accessible care. Car parking spaces are available near the practice.
There is one locum dentist, a trainee dental nurse and a receptionist.
The practice is open between the hours of 9am and 5pm Thursday and Friday. Emergency care is provided by local services when the practice is closed.
The practice owner is 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.
On the day of inspection we received six CQC comment cards providing feedback and we spoke with three patients. The patients who provided feedback were positive about the care and attention to treatment they received at the practice. They told us the staff were courteous, gentle and they were kept informed throughout their visit. They said the dentist was supportive and caring.
Our key findings were:
- The practice appeared clean and well maintained.
- Infection control procedures were robust and the practice followed published guidance.
- Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment were readily available in accordance with current guidelines.
- The practice had systems in place manage risks.
- Staff understood and received safeguarding training and knew how to recognise signs of abuse and how to report it.
- There were sufficient numbers of suitably qualified staff to meet the needs of patients.
- Safe recruitment of staff was in place.
- Emergency equipment was in place and staff were trained to respond to medical emergencies.
- Treatment was well planned and provided in line with current guidelines.
- Patients were treated with dignity and respect and confidentiality was maintained.
- The appointment system met patients’ needs.
- The service was aware of the needs of the local population and took these into account in how the practice was run.
- The practice was well-led and staff felt involved and supported and worked well as a team.
- The practice sought feedback from staff and patients about the services they provided.
- Complaints were responded to in an efficient and responsive manor.