Updated 5 June 2019
We carried out this announced inspection on 8 May 2019 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 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.
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
MacFarlane Dental Practice, Whalley is in the village of Whalley, near Clitheroe and provides NHS treatment to children and private treatment to adults and children. It also provides orthodontic treatment.
There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including for blue badge holders, are available at a pay and display car park, near the practice.
The dental team includes four dentists, seven dental nurses, three dental hygienists, one receptionist and a practice manager. The practice has three treatment rooms.
The practice is owned by a partnership and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 registered manager at MacFarlane Dental Practice, Whalley, is the principal dentist.
On the day of inspection, we collected 36 CQC comment cards filled in by patients. All feedback provided was highly positive.
During the inspection we spoke with one dentist, two dental nurses, the receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open: Monday, Tuesday and Thursday from 8am to 1pm, and from 1.30pm to 5.30pm. On Wednesday and Friday, the practice opens from 8.45am to 1pm and from 1.30pm to 5.30pm on Thursday, and from 1.30pm to 4.30pm on Friday.
Our key findings were:
- The practice appeared 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 practice had systems to help them manage risk to patients and staff.
- The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The provider had thorough staff recruitment procedures.
- 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 were providing preventive care and supporting 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 well 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 suitable information governance arrangements.
There were areas where the provider could make improvements. They should:
- Review governance arrangements for issue of NHS prescriptions.
- Review the practice protocols or completion of dental care records taking into account the guidance provided by the Faculty of General Dental Practice. Specifically, the recording of basic periodontal examinations.