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Nottingham Emergency Dental Services Limited

Reports


Inspection carried out on 15 November 2016

During a routine inspection

We carried out an announced comprehensive inspection on 15 November 2016 to ask the service 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

The service is located on the ground floor of premises to the west of the city centre close to the Queens Medical Centre (QMC). The service provides a mixture of NHS and private out-of-hours emergency dental treatments and a minor oral surgery service (IMOS). There is a small car park located at the service. There are two treatment rooms all of which are located on the ground floor.

The service provides out-of-hours regulated emergency dental services to both adults and children. Services provided include emergency general dentistry, Planned minor oral surgery up to three times a week.

The service’s opening hours are – Monday to Friday: 7 pm to 9:15 pm with access through referral from the NHS 111; Saturday: 2 pm to 5 pm and 6 pm to 9 pm; Sunday: 9 am to 12 noon, 2 pm to 5 pm and 6 pm to 9pm. In addition the service has a contract for minor oral surgery with NHS referrals from dentists on Tuesday and Wednesday: 9:30 am to 2:30 pm and Saturday: 8:30 am to 1 pm.

The clinical director who is a dentist is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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 has 13 dentists and 23 qualified dental nurses; Dental nurses also worked on the reception desk.

Before the inspection we sent Care Quality Commission comments cards to the practice for patients to complete to tell us about their experience of the practice and during the inspection we spoke with patients. We received feedback from 17 patients who provided a positive view of the services the practice provides. All of the patients provided positive feedback.

Our key findings were:

  • The premises were visibly clean and there were systems and processes in place to maintain the cleanliness.
  • Records showed there were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Patients commented they had no problem getting an appointment that suited their needs.
  • Patients were able to access emergency treatment when they were in pain.
  • Patients provided positive feedback about their experiences at the practice. Patients said they were treated with dignity and respect; and the dentist involved them in discussions about treatment options and answered questions.
  • Patients’ confidentiality was protected.
  • There were systems to record accidents, significant events and complaints, and where learning points were identified these were shared with staff.
  • The records showed that apologies had been given for any concerns or upset that patients had experienced at the practice.
  • The practice followed the relevant guidance from the Department of Health's: ‘Health Technical Memorandum 01-05 (HTM 01-05) for infection control with regard to cleaning and sterilizing dental instruments.
  • There was a whistleblowing policy accessible to all staff, who were aware of procedures to follow if they had any concerns.
  • Where audits identified improvements were needed these had not always been followed through.
  • The practice had the necessary equipment for staff to deal with medical emergencies, and staff had been trained how to use that equipment. This included an automated external defibrillator, oxygen and emergency medicines.

There were areas where the provider could make improvements and should:

  • Review the service’s audit protocols of various aspects of the service, such as dental care records at regular intervals to help improve the quality of service. The service should also check all audits have documented learning points and the resulting improvements can be demonstrated.

Inspection carried out on 14 December 2013

During a routine inspection

We spoke with four people who used the service two who had just undergone minor surgery and two who had just been treated as an emergency patient. They told us that they were happy with the service they were provided with. One person told us, "I wish I could use this service all the time, they have been so good." People confirmed that they were consulted about the treatment that they needed and that all their options had been discussed.

People told us that they had been treated respectfully and in a professional manner.

We saw five people's treatment records which showed that they were consulted about the care they were provided with and their treatment was planned and delivered in a way which met their needs.

We found that staff were provided with appropriate continuous professional development to meet the needs of the people who used the service.

There were systems in place to ensure that people were cared for and treated in a clean and hygienic environment.

The provider had systems in place to monitor and assess complaints which showed that they were taken seriously and were dealt with in line with their complaints procedure.