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Inspection report

Date of Inspection: 17 February 2014
Date of Publication: 2 April 2014
Inspection Report published 02 April 2014 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 17 February 2014, talked with people who use the service and talked with staff.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely to an appropriate standard.

Reasons for our judgement

Staff were supported to enable them to deliver care and treatment to patients to an appropriate standard.

We spoke with three staff, of differing job roles, about their experience of the support they received to enable them to carry out their roles. One staff member told us they “Felt supported, it’s a good team here, very approachable.” Another staff member said they “felt supported and felt they could speak openly.” Another member of staff said "The registered manager looked after the staff and patients well." Clinical staff told us that they had opportunities for continuing professional development (CPD) and were allowed time to undertake this during their working week. CPD training is undertaken electronically with clinical staff attending certified training days to keep their clinical skills up to date and develop new skills. One member of staff told us that they attended courses in the evening at a dental practice in Reigate and courses ran at East Surrey Hospital, we were told that a course in basic life support had been attended by staff in February 2013. We looked at three staff files and saw that staff undertook training to meet their ongoing professional development to keep their registration with the General Dental Council.

We were told by the registered manager that all staff underwent annual performance reviews where the main achievements of the year would be discussed and improvements and achievements for the following year would be set. One member of staff told us that “They were quite good especially if you need help, they will point you in the right direction.” We were told of an example where the objectives set last year had been achieved as training had been completed. The practice manager explained that trainee staff will have more support as “the newer they are, the more help they need.” This meant that patients were being cared for by well supported staff that had their clinical and non-clinical skills kept up to date and relevant.

Nursing staff were supervised by the dentists on an on-going basis. Nursing staff told us that they felt supported in their work. We were told by the registered manager that systems were in place to spread good practice through a variety of practice and nursing staff meetings which took place quarterly. One member of staff told us that the staff meetings were “Helpful and a good thing to do”. We were told by the practice manager that as it was a small practice, staff were able to raise issues and share information when any relevant clinical or managerial updates become available to ensure information is kept up to date and relevant.This meant that, along with their training, staff received appropriate support.

We were told by the registered manager that an induction programme was in place for new staff which was tailored to either administrative or nursing staff. We were told by the practice manager that nurses would undergo a 2 week induction period which would include reading policies such as health and safety and emergency procedures along with getting to know the practice and how equipment works. We saw evidence that the induction training for a nurse would include competencies to achieve including “setting up the surgery, decontamination room operation, surgery tidiness and cleanliness and cross infection control procedures”. We were told by the registered manager that a mentor was assigned to new staff members to support them through the induction period. This meant that the provider was supporting staff to undertake their job role effectively.