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Archived: Dental Practice

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Inspection report

Date of Inspection: 19 April 2013
Date of Publication: 16 May 2013
Inspection Report published 16 May 2013 PDF

People should be cared for in a clean environment and protected from the risk of infection (outcome 8)

Meeting this standard

We checked that people who use this service

  • Providers of services comply with the requirements of regulation 12, with regard to the Code of Practice for health and adult social care on the prevention and control of infections and related guidance.

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 19 April 2013, talked with people who use the service and talked with staff. We reviewed information sent to us by other authorities.

Our judgement

People were cared for in a clean, hygienic environment.

Reasons for our judgement

The Code of Practice on the prevention and control of infections for health and adult social care requires providers to have adequate systems in place to prevent and control infection. The Code expects that all areas of a dental practice will be kept clean and suitable for treatment to be provided to people.

During our visit, we found that the practice provided a clean and suitable treatment environment with systems in place to prevent and control infection. The dentist told us that all staff had responsibility for maintaining the cleanliness of the practice.

There was a dedicated decontamination room for the practice, where all cleaning, checking and sterilisation of instruments took place. A dental nurse explained the instrument cleaning regime to us. There were clear schedules and arrangements in place to ensure cleanliness and infection control was adequately managed.

We saw that the surgeries were clean and hygienic. The dental nurse explained the cleaning schedules in place prior to and between any consultations with patients. Staff told us and we saw that personal protective equipment was readily available to use. Hand washing facilities were provided in treatment rooms. People we spoke with told us that the dentists, hygienist and nurses always wore disposable gloves and masks and offered them glasses to protect their eyes during treatment. This meant that robust procedures were in place to reduce the risk of contamination and infections.

The dentist told us that the systems for reducing the risk of legionella were now due for checking to ensure a safe system is maintained. Records we saw indicated that the checks were now due. The dentist offered an assurance that action would be taken.

We saw a fridge was used for storing a certain medication that required cool storage. The dentist told us that the temperature of the fridge was not recorded daily as required by the regulations for the safe storage of medications. We saw that this fridge was in need of replacement as it was damaged and could not be effectively cleaned. The dentist offered an assurance that a new fridge would be purchased. The provider should note that daily monitoring of the temperature of the fridge where medications are stored should be completed and records kept.

We saw a record where a dental nurse had sustained a needle stick injury. A record was made of the immediate action taken to reduce the risk of harm to this nurse. We saw that policies and procedures were readily available with instructions for the action needed following such incidents.

Two people we spoke with following our inspection both told us that they had never had any concerns with the cleanliness or hygiene at the practice.