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Stoke Newington Dental Practice

Inspection Summary


Overall summary & rating

Updated 19 December 2016

We carried out an announced comprehensive inspection on 16 November 2016 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

Stoke Newington Dental Practice located in Stoke Newington provides NHS and private dental treatment to patients of all ages.

Practice staffing consists of a principal dentist, three associate dentists, one foundation dentist, one hygienist, three dental nurses, four trainee dental nurses/receptionist and practice manager.

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.

The practice is open Monday, Wednesday and Friday 9am to 7pm, Tuesday and Thursday 9am to 5pm and Saturdays 10am to 4.30pm.

The practice facilities include three treatment rooms, reception and waiting area, decontamination room, and a staff kitchen.

27 patients provided feedback about the service. Patients we spoke with and those who completed comment cards were very positive about the care they received about the service. Patients told us that they were happy with the treatment and advice they had received.

Our key findings were:

  • Staff had received safeguarding children and adults training and knew the processes to follow to raise any concerns. The practice had whistleblowing policies and procedure and staff were aware of these and their responsibilities to report any concerns.
  • There were systems in place to ensure that all equipment was maintained in line with manufacturer’s guidelines.
  • The practice ensured staff were trained and that they maintained the necessary skills and competence to support the needs of patients.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
  • There were systems in place to reduce the risk and spread of infection. Dental instruments were cleaned and sterilised in line with current guidance.
  • Patients were treated with dignity and respect and confidentiality was maintained.
  • The appointment system met the needs of patients and waiting times were kept to a minimum.
  • Staff had been trained to handle medical emergencies, and appropriate medicines and life-saving equipment were readily available.
  • The practice had a procedure for handling and responding to complaints, which were displayed and available to patients.
  • Governance systems were effective and there were a range of policies and procedures in place which underpinned the management of the practice. Clinical and non-clinical audits were carried out to monitor the quality of services.
  • The practice sought feedback from staff and patients about the services they provided and acted on this to improve its services.
Inspection areas

Safe

No action required

Updated 19 December 2016

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

The practice had systems in place for identifying, investigating and learning from incidents relating to the safety of patients.

The practice was visibly clean and infection control procedures were in line with national guidance.

The cleaning and decontamination of dental instruments was carried out in line with current guidelines. Regular audits and checks were carried out to ensure that the infection control arrangements were effective.

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Patients were protected against the risks of abuse or harm through the practice policies and procedures. Staff were trained to recognise and report concerns about patients’ safety and welfare and had access to contact details for the local safeguarding team.

There were arrangements in place to deal with medical emergencies and staff had annual training.

The practice had undertaken a risk assessment in relation to the Control of Substances Hazardous to Health 2002 (COSHH) regulations.

There were procedures in place for recruiting new staff and these were followed consistently. All of the appropriate checks including employment references, proof of identification and security checks were carried out when new staff were employed. The staff were suitably trained and skilled to meet patient’s needs and there were sufficient numbers of staff available at all times.

Effective

No action required

Updated 19 December 2016

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

Patients received a comprehensive assessment of their dental needs including a review of their medical history. Dental care records were detailed and included details of risks of and benefit of treatment.

Patients were offered options of treatments available and were advised of the associated risks and intended benefits. Patients consent was obtained and they were provided with a detailed written treatment plan which described the treatments considered and agreed together with the proposed timeframe for completions and the fees involved.

The staff kept their training up-to-date and received professional development appropriate to their role and learning needs. Staff who were registered with the General Dental Council (GDC) demonstrated that they were supported by the practice in continuing their professional development (CPD) and were meeting the requirements of their professional registration.

Health education for patients was provided by the dentists and information leaflets were available within the practice. They provided patients with advice to improve and maintain good oral health. We received feedback from patients who told us that they found their treatment successful and effective.

Caring

No action required

Updated 19 December 2016

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

Patients were complimentary about the practice and how the staff treated them. Patients commented positively on how caring and helpful staff were, describing them as friendly, compassionate and professional.

Patients felt listened to and were given appropriate information and support regarding their care or treatment. They felt their dentist explained the treatment they needed in a way they could understand. Staff had a good awareness of how to support patients who may lack capacity to make decisions about their dental care and treatment.

Responsive

No action required

Updated 19 December 2016

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

The practice provided friendly and personalised dental care. Patients had good access to appointments, including emergency appointments, which were available on the same day. In the event of a dental emergency outside of normal opening hours patients were directed to the mobile number of the principal dentist and ‘111’ out of hours service and the contact details were available for patients’ reference.

Patients who had difficulty understanding care and treatment options were suitably supported.

The practice had a complaints process which was available to support any patients who wished to make a complaint. The process described the timescales involved for responding to a complaint and who was responsible in the practice for managing them. Complaints were investigated and responded to in a timely manner and a suitable explanation and apology was offered.

Well-led

No action required

Updated 19 December 2016

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

Staff felt supported and empowered to make suggestions for the improvement of the practice. There was a culture of openness and transparency. Staff who we spoke with told us that they were supported and they were clear about their roles and responsibilities to ensure the smooth running of the service. The principal dentist was proactive in keeping up to date with reviews and changes to current guidance and ensuring that these were implemented in the practice.

The dental care records were maintained appropriately giving due regard to guidance provided by the Faculty of General Dental Practice (FGDP) regarding clinical examinations and record keeping.

There was a pro-active approach to identify safety issues and make improvements in procedures. There was candour, openness, honesty and transparency amongst all staff we spoke with.

Patients’ views were regularly sought by way of a patient survey and these were acted upon as required.