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Collins House Dental Surgery - Hereford

Inspection Summary


Overall summary & rating

Updated 4 September 2015

We carried out a comprehensive inspection of Collins House Dental Surgery on 14 January 2015.

The practice provides NHS dental treatment and private dental treatment. It is part of a national dental payment plan scheme and takes part in that organisation’s quality assurance arrangements.

The practice is situated in a converted former residential property in Hereford city centre. The practice has six dental treatment rooms and a decontamination room for cleaning, sterilising and packing of dental instruments. The main reception area and waiting room are on the ground floor and there are additional waiting areas near to the treatment rooms.

The practice has a full time practice manager. The principal dentist is registered with the Care Quality Commission as the registered manager. They are legally responsible for making sure the practice meets the regulations from the Health and Social Care Act 2008 relating to the quality and safety of care.

The practice has four dentists, two dental hygienists, a dental therapist and eight dental nurses. The practice manager and clinical team are supported by three receptionists.

Before the inspection we sent Care Quality Commission comment cards to the practice for patients to use to tell us about their experience of the practice. We collected seven completed cards. These provided a positive view of the service the practice provides. Patients told us that the care and treatment they received was caring, patient and thorough. They praised the skills of the clinical staff and the professionalism of the whole practice team.

The dental payment plan organisation which the practice was a member of carried out on-going surveys of patients’ views about the practice. We saw the results of surveys completed by 940 patients during 2014. These showed that 94% of patients rated the dental team as ideal, 96% felt that cleanliness and hygiene were excellent and 93% considered the team to be competent and explained treatments clearly.

Our key findings were:

  • Staff reported incidents and kept records of these which the practice used for shared learning.
  • The practice was visibly clean and well maintained.
  • Patients’ needs were assessed and care was planned and delivered in line with current best practice guidance from the National Institute for Health and Care Excellence (NICE) and other published guidance.
  • The practice had effective safeguarding processes and staff understood their responsibilities for safeguarding adults and children living in vulnerable circumstances.
  • Staff had received training appropriate to their roles and were supported in their continued professional development (CPD).
  • The practice took into account any comments, concerns or complaints and used these to help them improve the practice.
  • Patients were pleased with the care and treatment they received and complimentary about the dentists and all other members of the practice team.
Inspection areas

Safe

No action required

Updated 4 September 2015

The practice team took their responsibilities for patient safety seriously and staff were aware of the importance of identifying, investigating and learning from patient safety incidents. The practice had suitable arrangements for infection prevention and control, clinical waste management, dealing with medical emergencies at the practice and dental radiography (X-rays). We found that the equipment used in the dental practice was well maintained.

There were sufficient numbers of suitably qualified staff working at the practice. Staff had received safeguarding training and were aware of their responsibilities regarding safeguarding children and adults.

Effective

No action required

Updated 4 September 2015

The dental care provided was evidence based and focussed on the needs of the patients. The practice used national guidance including that from the National Institute for Health and Care Excellence (NICE) to guide their practice. We saw examples of positive team work within the practice and evidence of good communication with other dental professionals.

The staff received professional training and development appropriate to their roles and learning needs. Staff who were registered with the General Dental Council (GDC) were supported in their continuing professional development (CPD) and were meeting the requirements of their professional registration.

Caring

No action required

Updated 4 September 2015

We collected seven completed CQC patient comment cards. All of the information we received from patients provided a positive view of the service the practice provided. Patients told us that the care and treatment they received was caring, patient and thorough. They praised the skills of the clinical staff and the professionalism of the whole practice team. This information was also reflected in the results of a survey of 940 patients carried out by the dental payment organisation which the practice was a member of.

Responsive

No action required

Updated 4 September 2015

The practice provided clear information to patients about the costs of their treatment. Patients could access treatment and urgent care when required. The practice had one ground floor surgery and level access into the building for patients with mobility difficulties and families with prams and pushchairs. The team had access to telephone translation services if they needed this but had checked and established that none of their current patients needed this service.

Well-led

No action required

Updated 4 September 2015

The practice manager and principal dentist worked closely together to co-ordinate the day to day running of the practice. Staff were aware of the way forward and vision for the practice. The practice used the quality assurance processes of a national dental payment scheme to assist them to maintain the quality of the service.