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Inspection carried out on 11 December 2019

During a routine inspection

We carried out this announced inspection on 11 December 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 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.

Background

Woodlands Dental is in Lytham St Annes and provides NHS and private dental care and treatment for adults and children.

There is access to the practice for people who use wheelchairs and those with pushchairs. There is one small step into the practice. A portable ramp is available to assist patients who require it. On-road car parking spaces are available near the practice.

The dental team includes two dentists, five dental nurses, two dental hygienists and a practice manager. Dental nurses work on the reception desk also. The practice has three treatment rooms.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

On the day of inspection, we collected 40 CQC comment cards filled in by patients.

During the inspection we spoke with two dentists, one dental nurse, one dental hygienist 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 Wednesday and Thursday 9.00 – 5.30pm

Tuesday 8.00 – 3.00pm

Friday 9.00 – 3.30pm

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 systems to help them manage risk to patients and staff.
  • 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.
  • 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:

  • Take action to implement recommendations in the practice's Legionella risk assessment, taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices, and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance.’ In particular, the availability of a schematic diagram of the water supply and the identification of sentinel taps.

  • Improve the practice's systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities. In particular, the risks associated with the dental hygienists not having chairside support.

Inspection carried out on 3 May 2012

During a routine inspection

This was a busy practice, with treatment being carried out throughout the inspection visit. However, at some point we did speak with the dentists as well as a two staff members working in the practice.

We spoke with four people using the service about their experiences whilst visiting the dental practice. We were told that patients found the staff team to be polite, caring, friendly, and that people were treated sensitively and with respect. People we spoke to told us they were provided with enough information about their treatment options and were kept informed about how their treatment was progressing throughout the process. One patient said, "I am always told what I need doing and how much it will cost.” Staff we spoke with told us, “All patients are given the information they need about their treatment and costs.” Also, “No treatment begins until it has been agreed by the patient, or, if a child their parent or guardian.”

During the inspection we observed the reception area and saw patients were spoken to with respect. We observed people being made to feel comfortable, and staff responsible for their care communicated well with them. One person told us, “I came in yesterday for emergency treatment and they got it sorted out for me straight away, I am only here today to follow things up.”

We did not speak with people who use the service directly about

safeguarding adults or children. However, people we spoke with told us that they felt safe when care and treatment was being delivered. They said they had every confidence in the staff team and were able to discuss their concerns with any of the people working at the dental practice. One person told us, "I have been coming here for a long time. If I had any concerns I would speak to someone, but I have never had any complaints or concerns."