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Inspection Summary


Overall summary & rating

Updated 24 April 2017

We carried out an announced comprehensive inspection on 16 March 2017 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

Dentologicum is located on a business park close to the centre of Chester. The practice had been designed and furbished to a high standard. It comprises a reception and waiting room, a consultation room, a treatment room, two decontamination rooms, an X-ray room and patient toilet facilities all at ground floor level. Parking is available outside the practice. The practice is accessible to patients with disabilities, limited mobility, and to wheelchair users.

The practice provides general dental treatment to adults and children on a privately funded basis. The opening times are Monday to Friday 8.30am to 5.00pm. The practice is staffed by a principal dentist and a practice manager / dental nurse.

The principal dentist is registered with the Care Quality Commission as an individual. 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 received feedback from 16 people during the inspection about the services provided. Patients commented that they found the practice excellent and that staff were professional, friendly, and caring. They said the dentist listened carefully to them and they were always given excellent information and explanations about dental treatment options. Patients commented that the practice was clean and comfortable and provided a tranquil environment.

Our key findings were:

  • The practice had procedures in place to record, analyse and learn from significant events and incidents.
  • Staff had received safeguarding training, and knew the processes to follow to raise concerns.
  • There were sufficient numbers of suitably qualified and skilled staff to meet the needs of patients.
  • Staff had been trained to deal with medical emergencies, and emergency medicines and equipment were available.
  • The premises and equipment were clean, secure and well maintained.
  • Staff followed current infection control guidelines for decontaminating and sterilising instruments.
  • Patients’ needs were assessed, and care and treatment were delivered, in accordance with current standards and guidance.
  • Patients received information about their care, proposed treatment, costs, benefits, and risks and were involved in making decisions about it.
  • Staff were supported to deliver effective care, and opportunities for training and learning were available.
  • Patients were treated with kindness, dignity, and respect, and their confidentiality was maintained.
  • The appointment system met the needs of patients, and emergency appointments were available.
  • Services were planned and delivered to meet the needs of patients.
  • The practice gathered and took account of the views of patients.
  • Staff were supervised, felt involved, and worked together as a team.
  • Governance arrangements were in place for the smooth running of the practice, and for the delivery of high quality person centred care.
Inspection areas

Safe

No action required

Updated 24 April 2017

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

The provider had systems and processes in place to ensure care and treatment were carried out safely, for example, there were systems in place for infection prevention and control, dental radiography, and for investigating and learning from incidents and complaints.

Staff were appropriately recruited, suitably trained and skilled.

The practice had emergency medicines and equipment available. Staff were trained in responding to medical emergencies.

We found the equipment used in the practice was well maintained and tested at regular intervals.

The premises were secure and well maintained and had been designed to support ease of maintenance and cleaning. The practice was cleaned regularly.

There was guidance for staff on the decontamination of dental instruments which they were following.

The practice was following current legislation and guidance in relation to X-rays, to protect patients and staff from unnecessary exposure to radiation.

Effective

No action required

Updated 24 April 2017

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

The practice followed current guidelines when delivering dental care and treatment to patients.

Patients’ medical history was recorded at their initial visit and updated at subsequent visits. The dentist carried out an assessment of the patient’s dental health and monitored changes in it. Patients were given a written treatment plan which detailed the treatments considered and agreed, together with the fees involved. Patients’ consent was obtained before treatment was provided, and treatment focused on the patients’ individual needs.

Staff provided tailored oral health advice to patients and this was supported by a variety of written and visual information for patients to refer to.

Patients were referred to other services, where necessary, in a timely manner.

Staff were registered with their professional regulator, the General Dental Council, where relevant, and were supported in meeting the requirements of their registration. They received on-going training to assist them in carrying out their roles.

Caring

No action required

Updated 24 April 2017

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

Patients commented that staff were caring and friendly. They told us they were treated with respect, and that they were happy with the care and treatment given.

Staff understood the importance of emotional support when delivering care to patients who were nervous of dental treatment. Patient feedback on CQC comment cards confirmed that staff were understanding and made them feel at ease.

The practice had a separate room available if patients wished to speak in private.

We found that treatment was clearly explained, and patients were given time to decide before treatment was commenced. Patients commented that information given to them about options for treatment was helpful.

Responsive

No action required

Updated 24 April 2017

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

Patients had access to appointments to suit their preferences, and emergency appointments were available on the same day. The practice opening hours and the ‘out of hours’ appointment information was readily available.

The practice captured social and lifestyle information on the medical history forms completed by patients which helped the dentist to identify patients’ specific needs and direct treatment to ensure the best outcome for the patient.

The provider had taken into account the needs of different groups of people and put adjustments in place. Staff were prompted to be aware of patients’ specific needs or medical conditions.

The practice had a complaints policy in place which was displayed in the waiting room and outlined in the practice leaflet. The practice had not received any complaints in the previous 12 month period.

Well-led

No action required

Updated 24 April 2017

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

The provider had effective, robust systems and processes in place for monitoring and improving services. There was clear evidence that the provider and manager had planned ahead and considered the need for their systems and processes to take into account future expansion of the practice.

The practice was managed by the principal dentist and the practice manager. Both were aware of their own competencies, skills, and abilities, and supported each other in their roles. They communicated regularly to exchange information and ideas, and as it was a small practice issues were discussed and resolved as they arose.

The provider had put in place a range of policies, procedures and protocols to guide staff in undertaking tasks and to ensure that the service was delivered safely. We saw that these were regularly reviewed.

The provider used a variety of means to monitor quality and safety at the practice and to ensure continuous improvement in the practice, for example, learning from audits, and patient feedback.

Staff were aware of the importance of confidentiality and understood their roles in this. Dental care records were complete, accurate, and securely stored. Patient information was handled confidentially.