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Inspection carried out on 18 June 2019

During a routine inspection

We carried out this announced inspection on 18 June 2019 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

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

Almondbury Dental Practice is in Huddersfield and provides NHS and private treatment to adults and children.

The practice has a portable ramp to facilitate access to the practice for wheelchair users. Car parking is available near the practice.

The dental team includes five dentists, six dental nurses, (one of whom is a trainee), one dental hygiene therapist, one receptionist and two practice managers. The practice has four treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 registered manager at Almondbury Dental Practice is the principal dentist.

On the day of inspection, we collected 45 CQC comment cards filled in by patients.

During the inspection we spoke with three dentists, three dental nurses, the receptionist and both practice managers. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday, Wednesday and Thursday from 8:00am to 5:30pm

Tuesday from 8:00am to 8:30pm

Friday from 8:00am to 5:00pm

Saturday 9:00am to 12:00pm (one per month)

Our key findings were:

  • The practice appeared clean and well maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies.
  • The practice had systems to help them manage risk to patients and staff. Improvements could be made to the process for ensuring equipment is maintained according to manufacturer’s guidance.
  • The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had thorough staff recruitment procedures. Improvements could be made to the process for obtaining Disclosure and Barring Service (DBS) checks at the point of application.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff were providing preventive care and supporting patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and culture of continuous improvement.
  • Staff felt involved and supported and worked well as a team.
  • The provider asked patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • The provider had suitable information governance arrangements.

There were areas where the provider could make improvements. They should:

  • Review the practice's systems for checking and monitoring equipment taking into account relevant guidance and ensure that all equipment is well maintained.
  • Review the practice's recruitment procedures to ensure that appropriate checks are completed prior to new staff commencing employment at the practice. In particular, DBS checks.
  • Review the practice’s protocols to ensure audits of radiography are carried out for all clinicians and infection prevention and control audits are undertaken at regular intervals to improve the quality of the service.

Inspection carried out on 28 June 2013

During a routine inspection

During the inspection we spoke with patients who told us they had been coming to the dental practice for many years. Patients told us they were fully involved in the decisions about their dental care and treatment. They said the dentist always discussed treatment options and cost with them to help them make an informed decision.

We spoke with five patients who told us they were very satisfied with their experience of using the service. Patients told us they did not have to wait long for an appointment with the dentist.

Patients said the dentists explained the consultation procedure, which treatment would be most effective and reasons why they thought so. People felt they were treated with dignity and respect and said they had received consultations and treatment in private.

We saw treatment plans were detailed and included different options where these were appropriate and enabling patients to make an informed choice.

We saw arrangements in place to deal with emergency situations including training for staff in medical emergencies and resuscitation.

The practice had effective procedures in place for the management of infection control. There was evidence to show that staff had received training to reduce the risk of infection.

We saw complaints were dealt with appropriately by the practice in line with their own procedures.

The practice was clean and tidy. Personal protection equipment such as aprons, gloves and eye protection was used appropriately. The patients we spoke with said the practice was always clean and tidy.