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Inspection Summary


Overall summary & rating

Updated 12 December 2016

We carried out an announced comprehensive inspection on 18 October 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

Oasis Dental Care - Cleveleys offers both NHS and private treatment and provides a comprehensive range of dental treatments. The practice has four surgeries and provides a dental service to both adults and children. There is an access ramp at the front of the building for people who have mobility needs and a hearing loop is available for people with hearing needs. There are two fully equipped surgeries on the ground floor so that patients who are unable to use the stairs have ease of access for assessment and treatment. The main waiting area is located on the ground floor with a smaller waiting area upstairs.

The practice is open 8:00am to 7:00pm Monday to Thursday, 8:00am to 4:30pm on Friday and on Saturdays 8:00am to 2:00pm. The practice has five dentists and two dental therapists who work a variety of hours. The staff team also comprises seven qualified dental nurses, a trainee dental nurse and two receptionists.

The practice manager 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.

During the inspection we received feedback from one patient and we also received feedback through 13 patients completing feedback cards prior to the inspection. All feedback was positive and patients commented that the quality of care was very good. Comments about the service suggested patients were treated with care, respect and dignity.

Our key findings were

  • The practice manager was proud of the practice and how the team worked well together.
  • Staff said they were well supported and showed a commitment to providing a quality service to their patients.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • The practice had systems and resources in place to assess and manage risks to patients and staff including, infection prevention and control, health and safety and the management of medical emergencies.
  • Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
  • The practice was visibly clean, clutter-free and well maintained.
  • Patients’ needs were assessed and care was planned and delivered in line with current professional guidelines
  • The practice had effective safeguarding processes in place and staff understood their responsibilities for safeguarding vulnerable adults and children.
  • Staff reported incidents and kept records of these that the practice used for shared learning.
  • Staff had received training appropriate to their roles and were supported in their continued professional development (CPD).
  • Feedback from patients gave us a completely positive picture of a friendly, professional service.
  • The practice took into account any comments, concerns or complaints from patients and used these to help them improve the practice.
  • All complaints were dealt with in an open and transparent way by the practice manager if a mistake had been made.

There were areas where the provider could make improvements and should:

  • Review the current legionella risk assessment and implement the required actions including the monitoring and recording of water temperatures, giving due regard to the guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices and The Health and Social Care Act 2008: Code of Practice about the prevention and control of infections and related guidance

Inspection areas

Safe

No action required

Updated 12 December 2016

We found that this practice was providing safe care in accordance with

the relevant regulations.

The practice had robust arrangements for essential topics such as infection control, clinical waste control, management of medical emergencies and dental radiography (X-rays).

The equipment used in the dental practice was well maintained.

Staff were aware of the importance of identifying, investigating and learning from patient safety incidents.

There were sufficient numbers of suitably qualified staff working at the practice.

Staff had received safeguarding training and were aware of their responsibilities regarding safeguarding children and vulnerable adults.

We noted the water temperature checks for Legionella had been below that recommended in the risk assessment for a period of six months. This had not been addressed after the first temperature check.

Effective

No action required

Updated 12 December 2016

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

Dental care provided was based on current best practice and focussed on the needs of the individual patient.

The team worked well together and there was evidence of good communication with other dental professionals.

The staff received professional training and development appropriate to their roles and learning needs.

Staff were registered with the General Dental Council (GDC) and were meeting the requirements of their professional registration.

Caring

No action required

Updated 12 December 2016

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

the relevant regulations.

We collected 13 completed CQC patient comment cards and obtained the views of a patient on the day of our visit. All of the patients commented that the quality of care was very good. Patients commented on friendliness and helpfulness of the staff, and said the dentists were good at explaining the treatment or tests that were proposed.

Responsive

No action required

Updated 12 December 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 those these into account in how the practice was run.

Patients could access routine treatment and emergency care when required.

The practice provided patients with written information in language they could understand and had access to telephone interpreter services.

The practice had a ground floor treatment room and ramp access into the building for patients with mobility needs.

Well-led

No action required

Updated 12 December 2016

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

The practice manager was responsible for the day to day running of the practice.

There was a clearly defined management structure in place and all staff felt supported and in their roles. Staff said there was an open culture at the practice and they felt confident raising any concerns.

The practice held regular staff meetings, which provided an opportunity to openly share information and discuss any concerns or issues at the practice

The practice undertook various audits to monitor their performance and help improve the services offered. The audits included infection prevention and control, X-rays and dental care record audits.