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Inspection report

Date of Inspection: 17 February 2014
Date of Publication: 18 March 2014
Inspection Report published 18 March 2014 PDF | 86.92 KB

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, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

Staff received appropriate professional development.

We spoke with four patients. They told us they felt staff knew what they were doing when caring for them. One patient said, “Certainly.” Another patient said, “Very much so.” Another patient said, “He [the dentist] knows completely what’s he’s doing.”

We observed a consultation in a treatment room with the permission of the two young patients and their parent. We saw that the dentist and dental nurse provided appropriate care and we found no concerns regarding their actions.

The practice manager told us new staff received a 12 weeks induction and we saw evidence of inductions in three staff files we looked at. A dental nurse also told us they had received an induction. This meant systems were in place for staff to receive an induction when they started to work at the practice.

We asked the dentist, who was also the provider, and the practice manager for information about the supervision and appraisal systems in place. They told us that staff received an annual appraisal. We looked at some staff files and saw that staff members had attended appraisal meetings. A dental nurse also told us they had received an appraisal. This meant staff had opportunities to discuss training and other support needs and to consider their work objectives.

The provider may find it useful to note that the dentist and practice manager told us that more frequent regular one to one supervision meetings did not take place. This meant there was a risk that staff might not have opportunities to have regular one to one meetings where they could discuss any support needs. However, the practice was small and the dentist and practice manager operated an open door policy and frequently saw staff members.

The dentist also told us how time had been spent with a member of staff when they had returned to work following a period of absence to check they had appropriate information and support at that time. A dental nurse we spoke with also told us they were happy to not have more frequent one to one meetings. They told us they felt supported and they could discuss issues at the regular practice meetings that took place. They also said, “They’re [dentist and practice manager are] easy people to get on with.”

The dentist told us they completed a lot of training and exceeded the continuing professional development (CPD) requirements to maintain their registration with the General Dental Council. We saw certificates of training relevant to their role. We also saw they recorded the number of CPD hours they completed.

The dentist and practice manager also told us that staff completed courses as a group on cross infection, fire, medical emergencies, safeguarding and the Mental Capacity Act 2005 (MCA) and we saw information in the staff files about training. We saw that one staff member had not yet had the MCA training, but we were told this would be taking place. The practice manager also told us health and safety training was planned for March 2014 that would include COSHH training (control of substances hazardous to health).

The dentist told us they monitored other training completed by staff members and CPD sheets were kept. They told us that staff had access to a website where they could access training on many different subjects. A dental nurse also told us they had attended training courses on many different subjects and completed additional online training. They told us how they ensured they met their CPD requirements to maintain their registration with the GDC and they recorded information about this.

The dentist and practice manager told us that practice meetings took place on a monthly basis and more frequently if appropriate. We saw written notes from meetings. This meant staff had opportunities to discuss training needs and to hear about developments such as policy changes to keep them up-to-date.