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Plymouth Orthodontics Limited

All reports

Inspection report

Date of Inspection: 13, 28 February 2014
Date of Publication: 20 March 2014
Inspection Report published 20 March 2014 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 13 February 2014 and 28 February 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We sent a questionnaire to people who use the service, talked with people who use the service, talked with carers and / or family members and talked with staff. We reviewed information given to us by the provider.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

Reasons for our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. The number of patients seen by the dentist each session varied depending on the type of treatment and length of time needed for the appointment. On average there were between 20 and 40 appointments per day. At the time of our visit Plymouth Orthodontics employed three part time dental nurses to provide nursing and administration support to one part time dentist who owned the practice. There was a rotation of dental nurses between reception, administration, decontamination duties and dental nurse support in surgery with the dentist. This meant each dental nurse was able to cover each area of work to provide continuity and efficiency in work practice.

The dentist told us they had internal and external networks of clinical support. They had an annual appraisal which was conducted by another dentist who checked the dentist had kept up to date with their knowledge, and was someone who worked elsewhere with no conflict of interest with the dental practice. We saw a record of evidence that was kept by the dentist for the appraisal and this showed details of continual professional development, including study days and individual learning. The appraisal also included quality improvement actions where the dentist demonstrated their input into the profession, and feedback from patients.

We looked at all the dental nurse staff files. We found new staff completed an induction and orientation about working at the practice training period over four weeks. This was reviewed at the end of the period to assess if there were any additional training needs. All the dental nurses had undertaken training in mandatory subjects such as safeguarding of vulnerable adults, child protection, information governance for dental practices, and fire safety. We found the dental nurses had appropriate clinical qualifications for their profession and were up to date with their continuing professional development (CPD) for which they were personally responsible to maintain. The dental nurses were also responsible for their GDC registration and personal indemnity insurance. We found these were all in place and up to date for each staff member. These showed they were eligible to practice in their professional capacity.

We found that all staff employed at the practice had a formal annual appraisal completed by the dentist. These included objectives for the 12 months following the appraisal. This meant professional development was supported and promoted to reflect any relevant regulatory or professional requirements. We found there were staff meetings twice yearly and minutes kept of these meetings.

The provider may like to note that we found no evidence and staff told us they had not had a workstation assessment. These are important to ensure health and safety at work requirements are being met, and any staff who need reasonable adjustments in order to carry out their role.