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Inspection Summary


Overall summary & rating

Updated 29 June 2018

We carried out this announced focussed inspection on 24 April 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions and in response to information we had received. 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 focussed our inspection on two of the five key questions:

• Is it safe?

• Is it effective?

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.

Background

Luton Dental Health Centre is located in Luton town centre and provides private treatment to adults.

There is ramp access for people who use wheelchairs and those with pushchairs. Car parking spaces, including those for blue badge holders, are available near the practice in the town centre car parks.

The dental team includes one dentist, two dental nurses and a practice manager. The practice manager is a trained dental nurse with a qualification in dental sedation nursing and assists during sedation treatment. The practice has one treatment room in use, but is currently refurbishing a second treatment room with the aim to increase capacity.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

During the inspection we spoke with the dentist and three dental nurses. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Tuesday and Thursday from 9.30am to 5pm.

Saturday from 9.30am to 1pm.

Our key findings were:

  • The practice appeared clean and well maintained.
  • The practice 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.
  • The practice staff had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures. We found one staff member had applied for a Disclosure Barring Service (DBS) check at the time of the inspection. This was received after the inspection.
  • The clinical staff provided patients’ care and treatment mostly in line with current guidelines.
  • The practice offered conscious sedation to patients who may require this service. This was provided mostly in line with national guidance.
  • The practice was providing preventive care and supporting patients to ensure better oral health.

There were areas where the provider could make improvements. They should:

  • Review the practice's policies and procedures for obtaining patient consent prior to the day of treatment in relation to conscious sedation.
Inspection areas

Safe

No action required

Updated 29 June 2018

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

The practice had systems and processes to provide safe care and treatment. They used learning from incidents to help them improve.

Staff received training in safeguarding and knew how to recognise the signs of abuse and how to report concerns.

Staff were qualified for their roles and the practice completed essential recruitment checks.

Premises and equipment were clean and properly maintained. The practice followed national guidance for cleaning, sterilising and storing dental instruments.

The practice had suitable arrangements for dealing with medical and other emergencies.

Effective

No action required

Updated 29 June 2018

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

The dentists assessed patients’ needs and provided care and treatment in line with recognised guidance. The dentists discussed treatment with patients so they could give informed consent and recorded this in their records. Patients having conscious sedation were asked to sign a consent form on the day of treatment. National guidelines recommend this is obtained before the day of treatment. Patient care records demonstrated that conscious sedation was discussed with patients before the day of the treatment.

The practice had clear arrangements when patients needed to be referred to other dental or health care professionals.

The practice supported staff to complete training relevant to their roles and had systems to help them monitor this. The practice employed a dental nurse who was qualified in dental sedation nursing. 

Caring

Updated 29 June 2018

Responsive

Updated 29 June 2018

Well-led

Updated 29 June 2018