Updated 16 July 2018
We carried out this announced inspection on 29 May 2018 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.
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
Yeadon Dental Centre provides private dental treatments to adults and children.
Due to the nature of the premises access for people who use wheelchairs is not possible. Car parking is available on roads nearby the practice.
The dental team includes three dentists, four dental nurses, two dental hygienists and one receptionist. The practice has two treatment rooms.
The practice is owned by an individual who is one of the practice owners. They 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 collected 44 CQC comment cards filled in by patients.
During the inspection we spoke with one dentist, two dental nurses and the receptionist. We also spoke with the business manager and one of the practice owners. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday from 8:30am to 12:50pm and 2:00pm to 7:00pm
Tuesday to Friday from 8:30am to 12:50pm and 2:00pm to 5:30pm
Our key findings were:
- The practice appeared clean and well maintained.
- The practice staff had infection control procedures which reflected published guidance.
- Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
- Improvements could be made to the process for managing the risks associated with fire and the storage of Control of Substances Hazardous to Health (COSHH) substances.
- The practice staff had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
- The practice had thorough staff recruitment procedures.
- The clinical staff provided patients’ care and treatment in line with current guidelines.
- Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
- The practice was providing preventive care and supporting patients to ensure better oral health.
- The appointment system met patients’ needs.
- Improvements could be made to the governance procedures to ensure policies contain sufficient detail.
- Staff felt involved and supported and worked well as a team.
- The practice asked patients for feedback about the services they provided.
- The practice staff dealt with complaints positively and efficiently.
- The practice staff had suitable information governance arrangements.
There were areas where the provider could make improvements. They should:
- Review the fire safety risk assessment and ensure that any fire safety management is effective.
- Review the practice's protocols and procedures to ensure staff are up to date with their training and their continuing professional development.
- Review the practice’s protocols to ensure audits of radiography are clinician specific and audits of infection prevention and control have documented learning points and the resulting improvements can be demonstrated.
- Review the practice’s arrangements for ensuring good governance and leadership are sustained in the longer term.