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Avenue Parade Dental Practice

Inspection Summary


Overall summary & rating

Updated 5 April 2016

We carried out an announced comprehensive inspection on 7 March 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

The practice provides a range of NHS and private dental services for patients in and around the Accrington area.

The dental practice is based on the first floor of 1 Avenue Parade. There is a waiting room, separate reception and two treatment rooms. A decontamination room is based on the 2nd floor with a staff room and further storage facilities.

The practice has one full time dentist supported by two dental nurses and a receptionist.

The practice is open Monday and Thursday 09:00 am to 5.30pm and Friday 9am to 3pm.

The 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.

Before the inspection we sent Care Quality Commission comment cards to the practice for patients to complete to tell us about their experience of the practice. We received feedback from 17 patients who all gave positive comments about the care and treatment they received at the practice.

Our key findings were:

  • The practice had systems to assess and manage risks to patients, including infection prevention and control, health and safety and the management of medical emergencies.
  • Premises were well maintained and a tour of the building confirmed that good cleaning and infection control systems were in place.
  • There was appropriate equipment and access to emergency drugs to enable the practice to respond to medical emergencies. This included an automated external defibrillator. Staff had been trained to manage medical emergencies.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • Information about how to complain was available and easy to understand.
  • The dental practice had effective clinical governance and risk management structures in place.
  • There were systems to monitor and continually improve the quality of the service; including through a programme of clinical and non-clinical audits.

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

  • Review Staff recruitment processes to ensure all information is available prior to recruitment.

Inspection areas

Safe

No action required

Updated 5 April 2016

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

The practice had systems to assess and manage risks to patients. These included maintaining the required standards of infection prevention and control.

There were clear procedures regarding the maintenance of equipment and the storage of medicines in order to deliver care safely. Medicines for use in the event of a medical emergency were safely stored and records confirmed they were checked to ensure they were in date and safe to use. All staff had received training in responding to a medical emergency including cardiopulmonary resuscitation (CPR).

There were systems in place for identifying, investigating and learning from incidents relating to the safety of patients and staff members.

There were maintenance contracts in place to ensure all equipment had been serviced regularly, including, the ultrasonic bath, autoclave, fire extinguishers, the air compressor, oxygen cylinder and X-ray equipment.

There was documentary evidence to demonstrate that staff had attended training in child protection and adult safeguarding procedures and understood their responsibilities in relation to identifying and reporting any potential abuse.

Effective

No action required

Updated 5 April 2016

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

The practice followed guidance issued by the Faculty of General Dental Practice (FGDP); for example, regarding taking X-rays at appropriate intervals. Patients’ dental care records provided comprehensive information about their current dental needs and past treatment.

We saw that appropriate referrals were made to specialist services for further investigations following changes in the patient’s oral health.

Staff were knowledgeable about how to ensure patients had sufficient information and the mental capacity to give informed consent. Staff we spoke with were aware of the impact of patients’ and their family’s general health and wellbeing and were proactive in providing information and support.

Caring

No action required

Updated 5 April 2016

We found that this practice was providing caring services in accordance with

the relevant regulations.

We received feedback from 17 patients about the care and treatment they received at the practice. The feedback were positive of the practice with patients being unanimous in their praise for the care they received. Patients commented on the professionalism and caring nature of the staff and ease of accessibility in an emergency.

We observed privacy and confidentiality were maintained for patients using the service on the day of the inspection.

Policies and procedures in relation to data protection and security and confidentiality were in place and staff were aware of these.

Responsive

No action required

Updated 5 April 2016

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

We reviewed the CQC comment cards patients had completed prior to the inspection and confirmed patients were happy with the care they received and felt fully involved in making decisions about their treatment.

The practice provided patients with information to enable them to make informed choices about treatment. Patients were given a copy of their treatment plan and associated costs. This gave patients clear information about the different elements of their treatment and the costs relating to them

The dentist was based on the first floor of the building. There was a stair lift providing access for patients with limited mobility.

There were arrangements for dealing with any complaints and concerns raised by patients or their carers.

Well-led

No action required

Updated 5 April 2016

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

There was a comprehensive range of policies and procedures in use at the practice which were easily accessible to staff.

The practice identified, assessed and managed clinical and environmental risks related to the service provided. Lead roles supported the practice to identify and manage risks and helped ensure information was shared with all team members.

The dentist was a dental appraiser for the North West Deanery and kept up to date with developments and best practice in the dental profession.

There were regular monthly team meetings where staff were given the opportunity to give their views of the service. Staff told us that they felt well supported and could raise any concerns with the dentist.

The practice regularly sought feedback from patients conducting their own surveys and via family and friends /NHS surveys, in order to improve the quality of the service provided. The latest family and friends surveys concluded that patients were extremely likely to recommend the dental practice to others.

The practice had a system to monitor and continually improve the quality of the service through a programme of clinical and non-clinical audits. Where areas for improvement had been identified action had been taken and there was evidence of repeat audits to monitor those improvements had been maintained.