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Inspection carried out on 29 June 2016

During a routine inspection

We carried out an announced comprehensive inspection on 29 June 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

Greenwich Dental Practice is located in the London borough of Greenwich. The practice has six treatment rooms, waiting and reception area and a patient toilet; the facilities are situated over four floors.

The practice provides NHS and private dental treatment to children and adults. The practice offers general dentistry, periodontics, oral hygiene, implants, cosmetic dentistry and endodontics dental treatments and is open Monday - Friday 9am – 5.30pm.

The staff structure consists of a principal dentist, eleven associate dentists, seven dental nurses/receptionist and six trainee dental nurses, a head dental nurse, and a practice manager.

The principal dentist is registered with the Care Quality Commission (CQC) as 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.

The inspection took place over one day and was carried out by a CQC inspector and a dental specialist advisor.

We received 36 CQC comment cards completed by patients and spoke with seven patients during our inspection visit. Patients and relatives we spoke with, and those who completed comment cards, were positive about the care they received from the practice. They were complimentary about the friendly and caring attitude of the staff.

Our key findings were:

  • Patients’ needs were assessed and care was planned in line with current guidance such as from the National Institute for Health and Care Excellence (NICE).

  • There were effective systems in place to reduce and minimise the risk and spread of infection.

  • The practice had effective safeguarding processes in place and staff understood their responsibilities for safeguarding adults and children living in vulnerable circumstances.

  • Equipment, such as the air compressor, autoclave (steriliser), fire extinguishers, and X-ray equipment had all been checked for effectiveness and had been regularly serviced.

  • Patients told us they felt listened to and that they received good care from a helpful and caring practice team.

  • The practice had implemented procedures for managing comments, concerns or complaints.

  • The principal dentist had a vision for the practice and maintaining care standards; staff told us they were well supported by the management team.

  • Governance arrangements and audits were effective in improving the quality and safety of the services.

Inspection carried out on 20 November 2013

During a routine inspection

People who used the service told us they were happy with the service they received, and that the dentists explained and involved them in decisions about their treatment. People told us the information provided was clear and helped them to make an informed decision about their treatment.

People told us they were always treated in a respectful manner, and some said the dentist and staff knew them well over many years and always had good quality dental care in that time. People said that the dentist had always asked them for an update on their health at each visit and had included relevant information in their treatment plan. One person said: �I have been coming here for many years as have many of my family and friends and am very happy with the service�. Everyone we spoke with said they were very happy with the service provided.

The practice treatment rooms and staff practices were clean and hygienic. The premises were maintained in a good state of cleanliness. One person told us: �It�s an older building but I always find it's very clean and well maintained�. The practice treatment rooms were not wheelchair accessible but where necessary people were supported to attend another nearby practice that was accessible.

Staff were qualified, had appropriate training and supervision and were supported by the practice to update their training to do their job safely. Staff said they were supported by the provider to access training and keep up to date in their practices.