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Archived: Harley Place Dental & Implant Service

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Inspection Summary


Overall summary & rating

Updated 16 November 2016

We carried out an announced comprehensive inspection on 28 October 2016 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

The practice is located within a purpose adapted property in Stanford Le Hope, Essex and offers a range of private preventative, restorative and cosmetic dental treatments to adults and children.

The practice is open between 8am and 7pm on Mondays to Fridays and between 9am and 1pm on Saturdays.

The practice employs one clinical dental technician, two dentists, two qualified dental nurses, one of whom is the practice manager.

The practice is registered with the Care Quality Commission (CQC) as an organisation. The practice manager / dental nurse is the registered manager. 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.

The practice has three treatment rooms, a combined waiting room and a reception area. Decontamination takes place within a dedicated decontamination room. (Decontamination is the process by which dirty and contaminated instruments are bought from the treatment room, washed, inspected, sterilised and sealed in pouches ready for use again).

Our key findings were:

  • The practice had systems in place for investigating and learning from complaints, safety incidents and accidents. Staff were aware of their responsibilities to report incidents.
  • The practice was visibly clean and clutter free. Infection control practices were reviewed and audited to test their effectiveness.
  • There were systems in place to help keep people safe, including safeguarding vulnerable children and adults. Staff undertook training and were aware of their roles and responsibilities.
  • Risks to the health, safety and welfare of patients and staff were assessed and managed. There was a range of risk assessments and audits carried out to monitor safety and minimise risks.
  • The practice referred to and used current guidance in relation to dentistry when assessing patients’ needs and delivering treatment.
  • The practice medicines and equipment for use in the event of a medical emergency were in line with current guidelines and regularly checked to ensure that they were fit for use.
  • Staff undertook training in respect of their roles and responsibilities within the practice.
  • Patients were involved in making decisions about their care and treatments.
  • The practice offered a flexible appointment service to meet the needs of patients and could normally arrange a routine appointment within a few days or emergency appointments mostly on the same day.
  • Effective governance arrangements were in place for the smooth running of the service.
  • Audits and reviews were carried out used to make improvements to the service.
  • There were arrangements in place to obtain the views of patients to monitor and make improvements to the service where these were identified.

Inspection areas

Safe

No action required

Updated 16 November 2016

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

The practice had systems and processes in place to provide safe care and treatment and to assess and minimise risks. The practice had procedures in place to safeguard children and vulnerable adults against the risk of abuse. All staff undertook regular training appropriate to their roles and staff who we spoke with understood their responsibilities in this area.

There were arrangements to monitor and minimise risks to the health and safety of patients and staff. These included assessments in relation fire safety, legionella management and monitoring equipment used in the practice. There were procedures in place to ensure that X-rays were carried out safely.

The practice was visibly clean and infection control procedures were in line with national guidance. The cleaning and decontamination of dental instruments was carried out in line with current guidelines.

Equipment within the practice was regularly checked, serviced and maintained according to the manufacturer’s instructions. The practice had a range of equipment and medicines for use in medical emergencies and staff undertook regular training updates in basic life support.

New staff were recruited robustly and relevant checks were carried out in line with the practice recruitment procedures.

Effective

No action required

Updated 16 November 2016

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

The practice had a system of robust policies and procedures to ensure the effective delivery of care and treatment. Patient consultations were carried out in line with recall guidance from the National Institute for Health and Care Excellence (NICE).

There were systems in place to ensure that patient’s medical history was obtained and reviewed to help the dentists identify any risks to patients. Oral assessments were carried out in line with current guidance. This information was regularly reviewed and used to plan patient care and treatment. Patients were recalled after an agreed interval for an oral health review, during which their medical histories and examinations were updated and any changes in risk factors recorded.

Patients were offered options of treatments available and were advised of the associated risks and intended benefits. Consent to care and treatment was sought in line with current relevant guidelines. Patients were provided with a written treatment plan which detailed the treatments considered and agreed together and the fees involved.

Patients were referred to other specialist services where appropriate and in a timely manner.

The dentists and dental nurses were registered with the General Dental Council (GDC). Staff were supported and provided with training and personal development to help them deliver effective dental care and treatment.

Caring

No action required

Updated 16 November 2016

We found that this practice was providing caring services in accordance with

the relevant regulations.

The practice had procedures in place for respecting patients’ privacy, dignity and providing compassionate care and treatment. A private room was available should patients wish to speak confidentially with the dentists or reception staff. Staff had access to policies around respecting and promoting equality and diversity.

The results from the practice patient satisfaction surveys and patient testimonials showed that patients were happy with the level of care and support that they received. A number of patients who completed the surveys and testimonials commented that they were treated with kindness and empathy.

Responsive

No action required

Updated 16 November 2016

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

The practice offered a flexible appointment system. Appointments could be booked in person or by telephone. The practice operated a triage system to help identify and prioritise urgent same day access for patients experiencing dental pain which enabled them to receive treatment quickly.

The practice was open between 8am and 7pm on Mondays to Fridays and between 9am and 1pm on Saturdays.

The practice premises were accessible and provided step free access and sufficient room to cater for patients who used wheel chairs or other mobility aids.

The practice had a complaints process which was available to support any patients who wished to make a complaint. The process described the timescales involved for responding to a complaint and who was responsible in the practice for managing them.

Well-led

No action required

Updated 16 November 2016

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

There were suitable governance arrangements and leadership within the practice to ensure that appropriate systems were in place to monitor and improve the quality and safety of services.

The practice had systems in place to carry out regular audits to monitor areas including health and safety, fire safety, infection control and staff training and development. Regular dental records and X-ray audits were carried out to ensure that dental treatments were carried out in line with the relevant guidance and to make improvements as needed.

There were arrangements in place to ensure that training was accessible to staff. Learning and development needs of staff were reviewed at appropriate intervals and staff received appropriate supervision.

The practice had systems to obtain and act on feedback from patients and used this to improve the quality of the service provided.