You are here

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Updated 7 September 2016

We carried out an announced comprehensive inspection on 8 August 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

Baycliff dental practice offers mainly NHS treatment to patients of all ages and some private dental care services. The services provided include preventative advice and treatment and routine and restorative dental care. The practice has two dentists who are also the owners, a qualified dental nurse and a trainee dental nurse; in addition to a receptionist. One of the dentists is the practice manager.

The practice is in a single storey building and has a dental treatment room, a large waiting room and a reception area. There is wheelchair access and a large patient car park. Opening hours are from 9.00am until 5.30pm each week day.

One of the dentists 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.

We viewed 25 CQC comment cards that had been left for patients to complete, prior to our visit, about the services provided. We reviewed patient feedback gathered by the practice over the last 12 months. Feedback from patients was positive about the care they received from the practice. They commented that staff put them at ease, listened to their concerns and they had confidence in the dental services provided.

Our key findings were:

  • We found the practice ethos was to provide patient centred dental care in a relaxed and friendly environment.
  • The practice had systems to assess and manage risks to patients, including infection prevention and control, health and safety, safeguarding, recruitment and the management of medical emergencies.
  • Dentists provided dental care in accordance with current professional and National Institute for Care Excellence (NICE) guidelines.
  • Patients commented they felt listened to, were fully involved in their treatment and that they had confidence in the dental care provided.
  • Patients were able to make routine or emergency appointments when needed. There were clear instructions for patients regarding out of hours care.
  • The dental practice had effective clinical governance and risk management structures in place. There were systems to monitor and continually improve the quality of the service; including a programme of clinical and non-clinical audits.
  • Staff told us they felt well supported and were comfortable to raise concerns or make suggestions.
  • Staff had received training appropriate to their roles and were supported in their continued professional development (CPD) by the practice owners.

  • The practice had a safeguarding lead with effective processes in place for safeguarding adults and children living in vulnerable circumstances.
Inspection areas

Safe

No action required

Updated 7 September 2016

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

the relevant regulations.

The practice had robust arrangements for essential areas such as infection control, clinical waste control, management of medical emergencies at the practice and dental radiography (X-rays).

There were clear procedures regarding the maintenance of equipment and the storage of medicines in order to deliver care safely. Medicines for use in the event of a medical emergency were safely stored and checked to ensure they were in date and safe to use. All staff had received training in responding to a medical emergency including cardiopulmonary resuscitation (CPR).

The practice followed procedures for the safe recruitment of staff and had systems in place to support them carry out their work. Staff had received safeguarding training and were aware of their responsibilities regarding safeguarding children and vulnerable adults.

Effective

No action required

Updated 7 September 2016

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

The dental care provided was evidence based and focussed on the needs of the patient. The practice used current national professional guidance including that from the National Institute for Health and Care Excellence (NICE) to guide their practice. Patients’ dental care records provided comprehensive information about their current dental needs and past treatment. The practice monitored any changes in the patient’s oral health and made referrals to specialist services for further investigations or treatment if required.

Staff were knowledgeable about how to ensure patients had sufficient information and the mental capacity to give informed consent. Staff were aware of the impact of patients’ and their family’s general health and wellbeing and were proactive in providing information and support. Staff received professional training and development appropriate to their roles and learning needs. 

Caring

No action required

Updated 7 September 2016

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

the relevant regulations.

We looked at 25 CQC comment cards patients had completed prior to the inspection and spoke with six patients on the day of the inspection. Patients were overwhelmingly positive about the care they received from the practice, they felt fully involved in making decisions about their treatment and were listened to.

The practice provided patients with information to enable them to make informed choices about treatment. Staff we spoke with were aware of the importance of providing patients with privacy and how to maintain confidentiality. Policies and procedures were in place regarding patient confidentiality and maintaining patient data securely.

Responsive

No action required

Updated 7 September 2016

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

The practice offered routine and emergency appointments each day. There were clear instructions for patients requiring urgent care when the practice was closed. The practice was in single storey premises with access into the building for patients with restricted mobility and families with prams and pushchairs. Staff had access to a telephone interpreter service when required.

There was an effective system in place for acknowledging, recording, investigating and responding to complaints, concerns and suggestions made by patients. Information for patients about how to raise a concern or offer suggestions was available in the waiting room.

Well-led

No action required

Updated 7 September 2016

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

Strong and effective leadership was provided by the principal dentist and the practice manager. Staff told us that they felt well supported and could raise any concerns with the practice manager. The practice identified, assessed and managed clinical and environmental risks related to the service provided. There was a comprehensive range of policies and procedures in use at the practice which were easily accessible to staff.

The practice had a system to monitor and continually improve the quality of the service through a programme of clinical and non-clinical audits. The practice had systems in place to seek and act upon feedback from patients using the service.