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Inspection Summary


Overall summary & rating

Updated 25 April 2016

We carried out an announced comprehensive inspection on 01 March 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

Belmont Park Dental Care is an orthodontic practice located in the London Borough of Lewisham and provides predominantly NHS dental services. The demographics of the practice were mixed, serving patients from a range of social and ethnic backgrounds. The majority of the patients receiving treatment at the practice were children aged under 16 years.

The practice staffing consists of an orthodontist, a dental nurse and receptionist.

The practice is open from 8.00am to 12.30pm on Monday; 8.30am to 5.30pm on Tuesdays; 1.30pm to 5.45pm on Fridays and 8.30am to 12.30pm on Saturdays. The practice has use of a treatment room within another dental practice. It is located on the ground floor and the premises are wheelchair accessible and include a wheelchair accessible toilet for patients.

The principal dentist is registered with the Care Quality Commission (CQC) 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.

The inspection took place over one day and was carried out by a CQC inspector and a dentist specialist advisor.

We received 44 completed Care Quality Commission comment cards. Patient feedback was extremely positive about the service. Patients told us that staff were professional and caring and treated them with respect. Some comments were completed by parents of children who had received treatment at the surgery. They commented that their children were treated in an age appropriate way and staff were caring towards their children when delivering treatment. They commented that the premises were always clean and tidy and they described the service as very good and providing an excellent standard of care.

Our key findings were:

  • Appropriate systems were in place to safeguard patients from abuse. Staff were trained to the appropriate levels for child protection.
  • The provider had emergency medicines and equipment such as oxygen and an automated external defibrillator (AED) in line with national guidance.
  • There was appropriate equipment for staff to undertake their duties, and most equipment was well maintained except for the servicing of the pressure vessel.
  • All clinical staff were up to date with their continuing professional development.
  • Patients’ needs were assessed and care was planned in line with current guidance.
  • Patients were involved in their care and treatment planning so they could make informed decisions.
  • Governance arrangements were in place for the smooth running of the practice; and the practice had a structured plan in place to audit quality and safety which included the mandatory audits for infection control and radiography.
Inspection areas

Safe

No action required

Updated 25 April 2016

We found that this practice was providing safe care in accordance with

the relevant regulations.

The provider had systems in place to ensure patients were safeguarded from abuse. Staff were trained to the appropriate level for child protection and had completed adult safeguarding training.

Systems were in place for the provider to receive safety alerts from external organisations and they were shared appropriately with staff. Processes were in place for staff to learn from incidents and lessons learnt were discussed amongst staff. The practice undertook risk assessments and there were processes to ensure equipment and materials were maintained and safe to use.

Dental instruments were decontaminated suitably.

Medicines and equipment were available in the event of an emergency. Pre-employment checks were carried out appropriately.

Effective

No action required

Updated 25 April 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.

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 25 April 2016

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

Feedback from patients was positive. We received feedback from 44 patients via completed Care Quality Commission comment cards. Patients stated that they were involved with their treatment planning and able to make informed decisions and that staff acted in a professional manner. 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 25 April 2016

We found that this practice was providing responsive care in accordance with

the relevant regulations.

Patients had access to the service which included information available via the practice leaflet and website. Urgent on the day appointments were available during opening hours. In the event of a dental emergency outside of opening hours patients were directed to their dentist, the ‘111’ out of hours’ service or the hospital.

The building was wheelchair accessible and had appropriate facilities for patients with mobility problems. Information was available in accessible formats.

There were systems in place for patients to make a complaint about the service if required. Information about how to make a complaint was readily available to patients.

Well-led

No action required

Updated 25 April 2016

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

Governance arrangements were in place for effective management of the practice. Staff meetings were held informally where information was shared and opportunities existed for staff to develop. Audits were being conducted and demonstrated they were being used as a tool for continuous improvements. Staff received annual appraisals and told us they were confident in their work and felt well-supported.