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Inspection carried out on 13 February 2020

During a routine inspection

We carried out this announced inspection on 13 February 2020 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a Care Quality Commission, (CQC), inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Background

Viva Dental Practice is in Carnforth and provides private dental care and treatment for adults and children.

There is assisted access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice.

The dental team includes three dentists, four dental nurses of whom one is a trainee, one dental hygienist, and a receptionist. The management of the practice is supported by a business manager. The practice has three treatment rooms of which one is on the ground floor of the building.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

On the day of inspection, we collected 50 CQC comment cards filled in by patients

During the inspection we spoke with three dentists, two dental nurses, one receptionist and the business manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Thursday 9.00 – 5.30pm

Friday 8.45 – 4.30pm

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had systems to help them manage risk to patients and staff.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures which reflected current legislation.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • The provider had information governance arrangements.

There were areas where the provider could make improvements:

  • Implement

    practice protocols and procedures to ensure staff are up to date with sepsis awareness training and management.

Inspection carried out on 11 December 2012

During a routine inspection

We were able to speak with one person using the service (patient) in private and they were complimentary about the service provided. The practice�s own patient satisfaction survey also showed a number of positive comments and high quality scores.

There was a range of appropriate patient information leaflets detailing treatment options available in the waiting areas for people to read whilst waiting or to take home with them. The practice also had a detailed website.

The most recent patient satisfaction survey included the following comments, �Dr xx is fab & extremely gentle. Treatment is very satisfactory and great friendly reception and �everyone fabulous.�

We were able to speak with two dental nurses, one associate dentist, the principal dentist and the business manager. The dental nurses and the associate dentist were complimentary about working at the practice. One of the staff told us, ���.good to work for, easy going and good at what they do, and another said �I am proud to work here.�

We found that people were protected from the risk of infection because appropriate guidance had been followed and they were treated in a clean, hygienic environment.