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Inspection carried out on 12 April 2017

During a routine inspection

We carried out this announced inspection on 12 April 2017 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.

We told the NHS England Cheshire and Merseyside area team that we were inspecting the practice. We did not receive any information of concern from them.

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

Rice Lane Dental Practice is situated in a residential suburb of Liverpool, and provides NHS and privately funded treatment to patients of all ages.

There are steps at the front entrance to the practice with a handrail positioned alongside to assist patients. Car parking is available near the practice.

The dental team includes two dentists, a dental hygienist, a dental hygiene therapist, eight dental nurses, one of whom is a trainee, and two of whom also carry out reception duties. 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.

We received feedback from 38 people during the inspection about the services provided. The feedback provided was positive about the practice.

During the inspection we spoke to dentists, dental nurses, receptionists 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 and Tuesday 9.00am to 6.00pm, Wednesday 9.00am to 5.30pm, Thursday 9.00am to 5.00pm, and Friday 9.00am to 3.30pm.

Our key findings were:

  • The practice was clean and well maintained.
  • The practice had infection control procedures in place which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medical emergency medicines and equipment were available.
  • The practice had safeguarding processes in place and staff knew their responsibilities for safeguarding adults and children.
  • Staff provided patients’ care and treatment in line with current guidelines.
  • The practice had a procedure in place for dealing with complaints.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The appointment system took patients’ needs into account. Dedicated emergency appointments were available.
  • The practice had a leadership structure. Staff felt involved and supported and worked well as a team.
  • The practice asked patients and staff for feedback about the services they provided.
  • The practice had systems in place to help them manage most risks at the practice, but the procedures relating to staff immunisation were not robust.
  • The practice had staff recruitment procedures in place. Minor improvements were needed.

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

  • Review the system to assess, monitor and mitigate the various risks arising from undertaking of the regulated activities, specifically in relation to staff working in a clinical environment where the effectiveness of the Hepatitis B vaccination is not known.
  • Review the practice's recruitment policy and procedures to ensure references for new staff are requested and recorded suitably.
  • Review the security of NHS prescriptions in the practice to ensure they are all monitored and tracked.
  • Introduce a system to ensure staff are up to date with training and their continuing professional development.

Inspection carried out on 24 October 2012

During a routine inspection

We spoke with four people who were attending the dental practice for an appointment. They told us that they felt respected and involved with their treatment and would know whom to approach if they had any concerns. They told us "If I have a problem they look after me", "one of the nicest dentists I have been to ", "I have been coming here for years, the girls are really friendly�.

The dental surgeries we looked at on the day of the visit were of a suitable size and were clean and well maintained. Each room was fully equipped and we observed staff carrying out cleaning procedures in between each patient, thus minimising the risk of cross infection.

The practice had clear systems in place to maintain, monitor and improve the care and safety of people using the service.