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Archived: Dr Andre Louw - Minehead

Inspection Summary


Overall summary & rating

Updated 1 October 2015

We carried out an announced comprehensive inspection on 25 August 2015 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.

Our key findings were:

  • The practice had systems and processes in place which ensured patients were protected from abuse and avoidable harm by a skilled staff team.
  • Patients’ treatment and support achieved positive outcomes, promoted a good quality dental care and was based on the most recently available guidance and evidence.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Services were organised so that they meet patients’ needs and were flexible enough to accommodate emergency appointments each day.
  • The leadership, management and governance of the organisation supported the delivery of high-quality patient centred treatment, supported additional learning and promoted an open and fair culture.

There were areas where the provider could make improvements for example:

  • Training for new staff about safeguarding vulnerable adults should be prioritised earlier in their induction training.
  • All policies should be dated to evidence clearly the date they were reviewed.

Background

Blenheim Dental Practice provides general NHS dentistry and some private dental services to living in Minehead and the surrounding areas. The practice has patients from a wide rural catchment area surrounding Minehead with some patients travelling long distances to attend appointments. The practice is located on the first and second floors of a terraced property close to the main shopping area, with parking close by. The dental treatment and hygienist rooms are on the first and second floors and there is a separate decontamination room.

The practice has four treatment rooms and a separate dental hygienist area. The practice employs three dentists and is a training practice which supports one foundation trainee dentist. There is also a team of five dental nurses employed by the practice, one of the nurses is a trainee. The dental teams were supported by a practice manager and two receptionists. The practice is open from 8:30am until 5:00 pm Monday to Friday. The practice has their own website which provides information about the opening times and services they provide.

The main dentist is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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.

We spoke with 10 patients who provided feedback about the service during our inspection. We also received comment cards from 16 patients. The patients we spoke with and the comments we received were all positive about the treatment they received. Similarly positive comments were made about the caring nature of all the staff in the practice. Patients commented they felt the dentists took time to explain the required treatment and involved them in their treatment and decision making.

Inspection areas

Safe

No action required

Updated 1 October 2015

We found the practice was providing safe treatment and care in accordance with the relevant regulations. Systems, processes and practices were in place to ensure all care and treatment was carried out safely. Lessons were learned and improvements were made when things went wrong. Systems, processes and practices were in place to keep patients safe and safeguard them from abuse. Risks to individual patients were assessed and their safety monitored and maintained. Potential risks to the service were anticipated and planned for in advance and systems, processes and practices were in place to protect patients from unsafe use of equipment, materials and medicines.

Effective

No action required

Updated 1 October 2015

We found the practice was providing effective care in accordance with the relevant regulations. Patients’ needs were assessed and care and treatment was delivered in line with current legislation, standards and evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment. There were effective arrangements in place for working with other health professionals to ensure effective quality of treatment and care for the patient. Patients’ consent to treatment and care was always sought in line with legislation and guidance.

Caring

No action required

Updated 1 October 2015

We found the practice was providing caring services in accordance with the relevant regulations. Patients were treated with kindness, dignity, respect and compassion while they receive treatment and care. Patients and those close to them were involved as partners in their treatment and care and people who used the services, and those close to them, received the support they needed to cope emotionally with their care and treatment.

Responsive

No action required

Updated 1 October 2015

We found the practice was providing responsive care in accordance with the relevant regulations. Services were planned and delivered to meet the needs of patients. Services took account of the needs of different patients, including those in vulnerable circumstances. Patients could access care and treatment in a timely way and patients’ concerns and complaints were listened and responded to, and used to improve the quality of patient care.

Well-led

No action required

Updated 1 October 2015

We found the practice was providing well-led care in accordance with the relevant regulations. Governance arrangements ensured responsibilities were clear, quality and performance were regularly considered, and risks were identified, understood and well managed. The leadership and culture reflected the vision and values of the practice. They encouraged openness and transparency and promoted the delivery of high quality treatment and care. Quality assurance was used to encourage continuous improvement and patients, the public and staff were engaged with and involved in improving the service.