Revive Dental Care - Ancoats

We carried out this announced inspection on 13 August 2019 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

Revive Dental Care – Ancoats is in Manchester and provides emergency out of hours dental care to adults and children. They also provide dental treatment on a Wednesday for hard to reach patients such as homeless people.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.

The dental team includes six dentists, eight dental nurses, a receptionist and two practice managers. The practice is located in a health centre and has one treatment room.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission 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 Revive Dental Care – Ancoats is one of the practice managers. The service has recently been taken over by a corporate organisation who are currently re-organising the governance arrangements.

On the day of inspection, we collected eight CQC comment cards filled in by patients.

During the inspection we spoke with the practice manager and the compliance lead. We looked at practice policies, procedures, a selection of dental care records and other records about how the service is managed.

The practice is open:

Monday to Friday from 6:00pm to 8:30pm (Urgent dental care)

Weekends and bank holidays 10:00am to 4:00pm (Urgent dental care)

Wednesday 9:00am to 5:00pm (Hard to reach patients)

Our key findings were:

• The practice appeared 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 systems to help them manage risk to patients and staff.
• The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The provider had thorough staff recruitment procedures.
• The clinical staff provided patients’ care and treatment in line with current guidelines. Improvements could be made to the completion of dental care records.
• Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
• The appointment system took account of patients’ needs. The service offered dental treatment on a Wednesday for hard to reach patients. These include homeless people, street workers and carers.
• The provider was currently embedding the governance arrangements of the new corporate owner. This included policies, procedures and audits.
• Staff felt involved and supported and worked well as a team.
• The provider asked patients for feedback about the services they provided.
• The provider had suitable information governance arrangements.

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

• Review the practice's protocols for completion of dental care records taking into account the guidance provided by the Faculty of General Dental Practice.
• Review the practice’s protocols for the use of rubber dam for root canal treatment taking into account guidelines issued by the British Endodontic Society.
• Review the practice’s arrangements for ensuring good governance and leadership are sustained in the longer term.