Background to this inspection
Updated
18 February 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The inspection was carried out on 21 January 2016 and was led by a CQC Inspector and a specialist advisor.
We informed the NHS England area team and Healthwatch that we were inspecting the practice; however we did not receive any information of concern from them.
The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.
During the inspection we spoke with five dentists, four dental nurses, three receptionists and the practice manager. We saw policies, procedures and other records relating to the management of the service. We reviewed nine CQC comment cards that had been completed.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
These questions therefore formed the framework for the areas we looked at during the inspection.
Updated
18 February 2016
We carried out an announced comprehensive inspection on 21 January 2016 to ask 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
Selby Dental Care is situated in the centre of Selby, North Yorkshire close to public transport links. The practice has seven treatment rooms, two on the ground floor and five on the first floor, two waiting areas (one on each floor), a reception area, an X-ray room, a sterilisation room and a decontamination room connected by a hatch and an onsite laboratory.
There is a stair lift managed by the reception staff for those who are not able to climb stairs and a hearing loop for those with hearing problems. There are seven dentists (one of which is a foundation dentist), a dental hygiene and therapist, a practice manager, eight dental nurses (two of which are trainees), four receptionists and a clinical dental technician.
The practice offers a mix of NHS and private dental treatments including preventative advice, routine restorative dental care, dental implants and endodontic treatments.
The practice is open:
Monday – Friday 08:00 – 17:00.
The practice owner is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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.
On the day of inspection we received nine CQC comment cards providing feedback and spoke to four patients. The patients who provided feedback were very positive about the care and attention to treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to be efficient, polite, helpfull and they were treated with dignity and respect in a clean and tidy environment.
Our key findings were:
- Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it.
- There were sufficient numbers of suitably qualified staff to meet the needs of patients.
- Staff had been trained to manage medical emergencies.
- Infection control procedures were in accordance with the published guidelines.
- Patient care and treatment was planned and delivered in line with evidence based guidelines, best practice and current regulations.
- Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
- Patients were treated with dignity and respect and confidentiality was maintained.
- The appointment system met patients’ needs.
- There was a complaints system in place. Staff recorded complaints and cascaded learning to staff.
- The governance systems were effective.
- The practice sought feedback from staff and patients about the services they provided.
There were areas where the provider could make improvements and should:
- Provide a lock for the clinical waste overflow cupboard to ensue this is stored securely.
- Implement an external fire risk assessment.
- Review the surgery flooring to prevent gaps around the cabinetry.