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Archived: Lifestyle Dental

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Inspection Summary


Overall summary & rating

Updated 27 March 2017

We carried out an announced comprehensive inspection on 1 March 2017 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

Lifestyle Dental is located in the Fulwood district of Preston and provides diagnostic, preventative, restoration and surgical dental procedures for the whole population. A dentist, hygienist, dental technician and two dental nurses work at the practice. The premises have been adapted to support the needs of people who are wheelchair users. The practice is located on the ground floor and includes a reception, waiting area, treatment room and toilet facilities.

The practice opening hours are:

Monday – 08.30 to 17.30

Tuesday – 09.30 to 16.30

Wednesday – 09.30 to 19.30

Thursday – 08.30 to17.30

Friday – 09.00 to 12.00.

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.

We reviewed 22 CQC comment cards on the day of our visit; patients were extremely positive about the staff and standard of care provided by the practice. Patients commented that they were treated with dignity and respect in a clean and tidy environment by staff that were informative, friendly and made them feel at ease.

Our key findings were:

  • The practice had a proactive approach to governance and quality assurance.
  • The practice was well organised, visibly clean and free from clutter.
  • An infection prevention and control policy was in place. Sterilisation procedures followed Department of Health guidance.
  • The practice had systems for recording incidents and accidents.
  • Practice meetings were used to provide staff with updates and to discuss the outcome of checks and audits.
  • The practice had a safeguarding policy and staff were aware of how to escalate safeguarding issues for children and adults should the need arise.
  • Staff received annual medical emergency training.
  • Dental professionals provided treatment in accordance with current professional guidelines, including sedation guidelines.
  • Patient feedback was regularly sought and it was acted upon to improve the patient experience.
  • Patients could access urgent care when required.
  • Staff maintained their continuing professional development in accordance with their professional registration.
  • A policy and procedure was in place for managing complaints.
  • The practice was actively involved in promoting oral health.
  • A record of pre-employment references taken verbally to ensure staff were suitable to work with vulnerable patients was not in place.
  • Emergency equipment was being checked monthly and not weekly as required.

There were areas where the provider could make improvements and should:

  • Review the protocol for completing accurate and detailed records relating to employment of staff ensuring recruitment checks, including references, are suitably obtained and recorded.
  • Review the arrangements for monitoring medical emergency equipment and medicines giving due regard to guidelines issued by the Resuscitation Council (UK) and the General Dental Council (GDC) standards for the dental team.
Inspection areas

Safe

No action required

Updated 27 March 2017

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

Infection prevention and control procedures were effective and followed current guidance.

Equipment for decontamination procedures, radiography and general dental procedures was regularly tested and checked to ensure it was safe to use.

Staff were knowledgeable about safeguarding systems for adults and children.

The practice had processes for recording and reporting any accidents and incidents.

Relevant risk assessments were in place for the practice.

Verbal references taken when recruiting staff were not recorded.

The medical emergency kit was stored safely. The monitoring of medical emergency equipment was taking place monthly rather than weekly as required.

Effective

No action required

Updated 27 March 2017

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

Dentists were following national guidance when providing oral health care to patients, which ensured treatment followed current recommendations.

Staff obtained consent from patients before providing treatment.

The practice followed the guidelines when using sedation as part of a treatment plan for patients.

Staff made referrals to other services in an appropriate and recognised manner.

Staff registered with the GDC met the requirements of their professional registration by carrying out regular training and continuing professional development.

Caring

No action required

Updated 27 March 2017

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

Patients were very positive about the staff, practice and treatment received. We left CQC comment cards for patients to complete two weeks prior to the inspection. There were 22 responses all of which were very positive, with patients stating they felt listened to and included in making decisions about their care.

Dental care records were kept securely on computer systems which were password protected.

We observed patients being treated with respect and dignity during our inspection and privacy and confidentiality were maintained for patients using the service. We also observed staff to be welcoming and caring towards patients.

Responsive

No action required

Updated 27 March 2017

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

the relevant regulations.

The practice ensured that patients requiring urgent dental care were seen on the day they contacted the practice.

Staff had access to an interpreter service for language and hearing if required.

The practice was fully accessible for people who were wheelchair users, including an accessible toilet.

Well-led

No action required

Updated 27 March 2017

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

The practice owner was responsible for the day-to-day running of the service. The practice had a proactive approach to governance quality assurance.

A comprehensive audit programme was in place, including infection prevention and control, X-rays and dental care record audits. In addition regular and various ‘spot checks’ were undertaken. The outcome of audit was used to identify improvements that could be made to the service.

Staff said there was an open culture at the practice and they felt confident raising any concerns, particularly at the daily practice meetings.

The practice conducted a regular patient satisfaction survey each year and this was analysed to identify any areas of the practice that could be improved upon.