Oliver's Battery Dental Surgery

Updated 27 May 2016

We carried out an announced, comprehensive inspection of Oliver’s Battery Dental Surgery on 4 April 2016. The inspection was carried out by a lead inspector and a second inspector.

We informed NHS England area team that we were inspecting the practice, however there were no immediate concerns from them.

During our inspection visit, we reviewed policy documents and staff records. We spoke with members of staff, including the practice manager and dentists. We conducted a tour of the practice and looked at the storage arrangements for emergency medicines and equipment. We were shown the decontamination procedures for dental instruments and computer system that supported the patient treatment records. We reviewed comment cards completed by patients prior to our visit and received feedback from eight patients on the day. Patients gave positive feedback about their experience at the practice.

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.

Updated 27 May 2016

We carried out an announced comprehensive inspection on 4 April 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

Oliver’s Battery Dental Surgery has four dentists, seven dental nurses, five of whom are qualified and registered with the GDC and two who are in training, and three receptionists. A self-employed dental hygienist also worked from the practice. All of the dentists and dental nurses are qualified and registered with the General Dental Council (GDC). The practice’s opening hours are 8am until 5pm Monday to Friday.

Oliver’s Battery Dental Surgery is a dental practice providing mainly NHS and some private treatment and caters for both adults and children. The practice is situated in purpose built premises. The practice had three dental treatment rooms. Decontamination for cleaning, sterilising and packing dental instruments is carried out in a separate room. There is a reception and waiting area. All of the dental treatment rooms were on the ground floor enabling access for patients who found stairs difficult.

One of the dentists 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. Supporting the Registered Manager is a practice manager and a business support manager.

Before the inspection we sent Care Quality Commission comment cards to the practice for patients to complete to tell us about their experience of the practice. We collected 46 completed cards and received feedback on the day of the inspection from eight patients. These provided a positive view of the services the practice provides. All of the patients commented that the quality of care was good.

We carried out an announced comprehensive inspection on 4 April 2016 as part of our planned inspection of all dental practices. The inspection took place over one day and was carried out by a lead inspector and a second inspector.

Our key findings were:

• The practice had a practice manager who administered the clinical governance systems and processes within the practice.
• Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment was readily available in accordance with current guidelines.
• The practice was visibly clean and well maintained.
• Infection control procedures were robust and the practice followed published guidance.
• The practice had effective safeguarding processes in place for safeguarding adults and children living in vulnerable circumstances.
• Staff reported incidents and kept records of these which the practice used for shared learning.
• The practice had enough staff to deliver the service.
• Staff had received training appropriate to their roles and were supported in their continued professional development (CPD).
• Staff we spoke to felt well supported by the practice manager and were committed to providing a quality service to their patients.
• Information from eight completed CQC comment cards gave us a positive picture of a friendly, caring and professional service.
• All complaints were dealt with in an open and transparent way by the practice manager responsible for administration if a mistake had been made.

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

• Review working arrangements for the dental hygienist so they do not work alone.
• Review arrangements for translation services.
• Review references request template to include the name of the company providing them.
• Review arrangements for recording clinical meetings, so that there is a written record of what is discussed.