You are here

Inspection Summary


Overall summary & rating

Updated 10 October 2016

We carried out an announced comprehensive inspection on 14 September 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

West Croydon Dental Practice is a mixed NHS dental practice in Croydon. The practice is situated in a converted residential property. The practice is set out over three floors and has four dental treatment rooms, a patient waiting room with reception, a separate decontamination room for cleaning, sterilising and packing dental instruments and a staff office.

The practice is a training practice for the Dental Foundation Training (DFT) scheme. DFT provides postgraduate dental education for newly qualified dentists in their first (foundation) year of practice; usually within general dental practices. The principal dentist (also the registered manager) is a trainer for the DFT scheme and provides clinical and educational supervision. The practice currently has one dentist who is in their first (foundation) year of practice.

The practice is open 9.00am to 5.30pm Monday, Tuesday, Wednesday and Fridays and from 9.00am to 8.00pm on Thursdays. The practice has four dentist, three trainee dental nurses, a hygienist and an administrator.

Inspection areas

Safe

No action required

Updated 10 October 2016

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

Systems were in place for the provider to receive safety alerts from external organisations and they were shared appropriately with staff. Lessons learnt were discussed amongst staff. Suitable pre-employment checks were carried out. There was an appointed safeguarding lead and all staff had completed safeguarding training.

Dental instruments were decontaminated suitably. Medicines were available in the event of an emergency. There was medical oxygen and staff had access to an automated external defibrillator (AED) in the event of a medical emergency. Regular checks were carried out to the defibrillator and oxygen cylinder.

Effective

No action required

Updated 10 October 2016

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

There were suitable systems in place to ensure patients’ needs were assessed and care and treatment was delivered in line with published guidance. Patients were given relevant information to assist them in making informed decisions about their treatment and consent was obtained appropriately. Staff were aware of their responsibilities under the Mental Capacity Act (MCA) 2005. Referrals were made appropriately.

Staff were up to date with their CPD requirements and we saw evidence of training beyond this also.

The practice maintained appropriate dental care records and patient details were updated regularly. Information was available to patients relating to health promotion and maintaining good oral health.

Caring

No action required

Updated 10 October 2016

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

the relevant regulations.

We received feedback from 12 patients via completed Care Quality Commission comment cards and speaking with patients on the day of the inspection. Feedback from patients was positive. They described staff as friendly and professional.

Patients stated that they were involved with their treatment planning and were able to make informed decisions. We saw examples of equipment used to make the patient experience more comfortable and considerate of patients’ needs. Patients referred to staff as being caring, empathetic, and professional and treating them with dignity and respect. They felt involved in their treatment and gave examples of where staff had ensured they understood treatment.

Responsive

No action required

Updated 10 October 2016

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

The service was aware of the needs of the local population and took those these into account in how the practice was run. Reasonable adjustments were made for patients when necessary. Patients could access appointments and urgent and emergency care was provided when required.

The practice had level access into the building but the dental surgeries were not wheelchair accessible. Staff told us that they had a list of other practices in the local area that were wheelchair accessible which they could refer people to.

There were systems in place for patients to make a complaint about the service if required.

Well-led

No action required

Updated 10 October 2016

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

The practice held various meetings for the smooth running of the practice. Staff told us they were happy with the way information was shared with them and arrangements that existed for them to be informed.  Audits were being completed regularly. Governance arrangements were in place for the management of the practice. Risk assessments and servicing of equipment was being carried out at timely intervals.