You are here

Reports


Inspection carried out on 28 January 2020

During a routine inspection

We carried out this announced inspection on 28 January 2020 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 Care Quality Commission, (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 this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

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

Are services caring?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

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

Are services well-led?

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

Background

Dove Dental Care is in the city of Derby. It lies to the south east of the city centre close to the inner ring road. The practice provides NHS and private dental treatment adults and children.

There is a removable ramp to gain access in to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice.

The dental team includes nine dentists, three dental hygiene therapist, ten dental nurses, including one apprentice dental nurses and the practice manager, three receptionists and a sterilization operator. The practice has seven treatment rooms, two of which are located on the ground floor. The practice has centralised decontamination facilities.

The practice is owned by an organisation and as a condition of registration must have a person registered with the CQC as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Dove Dental Care is the practice manager.

On the day of inspection, we collected 41 CQC comment cards filled in by patients and spoke with two other patients. Feedback received about the practice was positive.

During the inspection we spoke with three dentists, four dental nurses, one receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open: Monday to Thursday: from 8am to 5pm, Friday: from 8am to 4pm and Saturday: from 9am to 3pm.

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures which reflected current legislation.
  • Antimicrobial prescribing audits were not being completed.
  • 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.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • The provider had information governance arrangements.

There were areas where the provider could make improvements. They should:

  • Review the practice protocols regarding audits for prescribing of antibiotic medicines taking into account the guidance provided by the Faculty of General Dental Practice.

  • Review the labelling of medicines dispensed by the practice to ensure is complies with the Human Medicines Regulations 2012.

Inspection carried out on 22 July 2015

During a routine inspection

We carried out an announced comprehensive inspection on 22 July 2015 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

Dove Dental Care is located close to the centre of Derby, just off the inner ring road. There are good public transport links and pay and display car parking close by.

The practice treats both private and NHS patients, with the majority (approximately 80%) being NHS. Most patients live in Derby or the surrounding area.

The practice has nine dentists. In addition, the practice has two hygienists/therapists and eight dental nurses plus two trainee dental nurses. There were five receptionist staff and a practice manager.

The practice opening hours were: Monday to Friday: 7:45 am to 5:30 pm and Saturday 9:00 am to 3:00 pm.

The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission (CQC) 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 114 CQC comment cards that had been completed by patients, about the services provided. We saw that all 114 comment cards had positive comments. Patients said they were happy with the service provided, and found staff friendly, welcoming and professional. In addition, we spoke with three patients who all said they were happy with the dental service they were receiving. Patients said they felt respected and were treated well at the practice. All three patients said they were able to ask questions, and the dentist explained the treatment options and they were going to do before treatment started.

Our key findings were:

  • The practice had systems for recording accidents, significant events and complaints.
  • Accidents, significant events and complaints were analysed and learning from them was shared with staff.
  • The practice had provided training in safeguarding and whistle blowing for it’s staff.
  • Staff knew the procedures to follow to raise any concerns.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • The practice had ensured staff had been trained to handle emergencies.
  • Emergency medicines and life-saving equipment were readily available.
  • The practice followed the relevant guidance ( Department of Health's guidance, ‘Health Technical Memorandum 01-05 (HTM 01-05) for infection control.
  • Patients’ care and treatment was planned and delivered in line with National Institute for Health and Care Excellence (NICE) guidelines.
  • Patients were involved in making decisions about their treatment.
  • Patients confidentiality was maintained.
  • The practice sought feedback from staff and patients about the services they received.

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

  • Consider reviewing audits and policies as appropriate so that versions are dated and staff can be sure that the documentation is the latest available.

Inspection carried out on 6 February 2012

During a routine inspection

People we spoke to said that they received care which met their needs and felt staff communicated with them well. They also said that they felt the practice was clean and that staff used personal protective equipment to ensure hygienic practice.