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Salcot Crescent Dental Surgery

Inspection Summary


Overall summary & rating

Updated 21 September 2016

We carried out an announced comprehensive inspection on 7 September 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

Salcot Crescent Dental Practice is a mixed NHS dental practice in Croydon. The practice is situated in a converted residential property. The practice has five dental treatment rooms, two patient waiting rooms and a separate decontamination room for cleaning, sterilising and packing dental instruments. In addition there is a reception and waiting area for patients.

The practice is open 8.45am to 5.00pm Monday to Fridays. The practice has five dentists and they are supported by six dental nurses. Other staff included a dental hygienist, a practice manager and two receptionists.

The principal 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 32 patients via completed comment cards and speaking with patients on the day of the inspection. Patients provided a positive view of the services the practice provides. Patients commented on the quality of care, the friendliness and professionalism of all staff, the cleanliness of the practice and the overall quality of customer care.

Our key findings were:

  • We found that the practice ethos was to provide patient centred dental care in a relaxed and friendly environment.
  • Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment was readily available in accordance with current guidelines.
  • The practice appeared clean and well maintained.
  • Infection control procedures were robust and audits were being completed every 6 months.
  • The practice had a safeguarding lead with information available to staff to refer to. Staff demonstrated knowledge of safeguarding.
  • The practice had a system in place for reporting incidents which the practice used for shared learning.
  • Dentists provided dental care in accordance with current professional and National Institute for Care Excellence (NICE) guidelines.
  • The service was aware of the needs of the local population and took these into account in how the practice was run.
  • Patients could access treatment and urgent and emergency care when required.
  • Staff recruitment files were organised and included relevant pre recruitment documents such as interview notes, CVs and references.
  • There was a structured approach to learning and development and core training was provided by the owner. Staff had the opportunity to attend learning and training events.
  • Staff we spoke with felt well supported by the practice owner and were committed to providing a quality service to their patients.
  • Feedback from patients gave us a positive picture of a friendly, caring, professional and high quality service.

There was one area where the provider could make improvements and should:

Review the storage of dental care records to ensure they are stored  securely.

Inspection areas

Safe

No action required

Updated 21 September 2016

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

Systems were in place for the provider to receive safety alerts from external organisations and they were shared appropriately with staff. Lessons learnt were discussed amongst staff. Suitable pre-employment checks were carried out. There was an appointed safeguarding lead and all staff had completed safeguarding training.

Dental instruments were decontaminated suitably. Medicines were available in the event of an emergency. Regular checks were undertaken to monitor expiry of medicines. There was medical oxygen and staff had access to an automated external defibrillator (AED) in the event of a medical emergency. Regular checks were carried out, although the practice did not maintain logs of the checks.

Effective

No action required

Updated 21 September 2016

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

There were suitable systems in place to ensure patients’ needs were assessed and care and treatment was delivered in line with published guidance. Patients were given relevant information to assist them in making informed decisions about their treatment and consent was obtained appropriately. Staff were aware of their responsibilities under the Mental Capacity Act (MCA) 2005. Referrals were made appropriately. Staff were up to date with their CPD requirements and we saw evidence of training beyond this also.

The practice maintained appropriate dental care records and patient details were updated regularly. Information was available to patients relating to health promotion and maintaining good oral health.

Caring

No action required

Updated 21 September 2016

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

the relevant regulations.

We received feedback from 32 patients via completed Care Quality Commission comment cards and speaking with patients on the day of the inspection. Feedback from patients was positive. They described staff as friendly and professional. Patients stated that they were involved with their treatment planning and were able to make informed decisions. We saw examples of equipment used to make the patient experience more comfortable and considerate of patients’ needs.

Patients referred to staff as being caring, empathetic, and professional and treating them with dignity and respect. They felt involved in their treatment and gave examples of where staff had ensured they understood treatment.

Responsive

No action required

Updated 21 September 2016

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

The service was aware of the needs of the local population and took these into account in how the practice was run. Reasonable adjustments were made for patients when necessary. Patients could access appointments and urgent and emergency care was provided when required.

The practice had level access into the building for patients with mobility difficulties and families with prams and pushchairs.

There were systems in place for patients to make a complaint about the service if required.

Well-led

No action required

Updated 21 September 2016

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

Staff meetings were held monthly and staff told us they were happy with the way information was shared with them and arrangements that existed for them to be informed.  Audits were being completed regularly. Governance arrangements were in place for the management of the practice. Risk assessments and servicing of equipment was being carried out at timely intervals.