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Inspection Summary


Overall summary & rating

Updated 20 June 2016

We carried out an announced comprehensive inspection on 10 May 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.

Abbey Dental Practice is located in the London Borough of Tower Hamlets. The practice is on the ground and first floor and comprises of five surgeries and two decontamination rooms. There was also a reception and waiting area. Toilet facilities for patients were also available.

The practice provides NHS and private dental services and treats both adults and children. The practice offers a range of dental services including routine examinations and treatment.

The staff structure of the practice comprises of two providers, five dentists, a practice manager, area manager, four qualified dental nurses, two trainee dental nurses and two receptionists. The practice was open Mondays from 9am-8pm, Tuesday to Friday from 9am-6pm and Saturdays from 9am-1pm.

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.

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

We received feedback from 17 patients. The feedback from the patients was positive in relation to the care they received from the practice. They were complimentary about the friendly and caring attitude of the staff.

Our key findings were:

  • The practice had policies and procedures in place for child protection and safeguarding adults.
  • There were arrangements in place to deal with foreseeable emergencies
  • There was a complaints procedure available for patients.
  • There were systems in place to reduce the risk and spread of infection. Staff had access to an automated external defibrillator (AED) and other equipment and medicines to manage medical emergencies in line with current guidance
  • Patients’ needs were assessed and care was planned.
  • Patients indicated that they felt they were listened to and that they received good care from the practice staff.
  • The practice had systems in place to receive alerts from relevant external organisations such as Medicines and Healthcare products Regulatory Agency (MHRA).
  • There was evidence of staff’s continuing professional development (CPD) activity and it was being suitably monitored.
  • Equipment, such as the air compressor and autoclave (steriliser), were serviced to check their effectiveness.
  • The practice had a clear management structure and good governance arrangements in place for the smooth running of the practice.
  • Risks relating to the health, safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity had been identified and mitigated.

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

  • Review the practice’s protocols for the use of rubber dam for root canal treatment giving due regard to guidelines issued by the British Endodontic Society.
  • Review staff awareness of the requirements of the Mental Capacity Act (MCA) 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.
Inspection areas

Safe

No action required

Updated 20 June 2016

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

The practice had systems in place to minimise the risks associated with providing dental services. The practice had policies and protocols related to the safe running of the service. Staff were aware of how to access these. There was a safeguarding lead and staff understood their responsibilities in terms of identifying and reporting any potential abuse. Equipment was well maintained and checked for effectiveness.

Recruitment checks had been undertaken suitably and all staff, where relevant had a check with the Disclosure and Barring Service.

The practice had systems in place for waste disposal, the management of medical emergencies and dental radiography. There was also a system in place for receiving alerts from relevant external agencies.

Effective

No action required

Updated 20 June 2016

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

The practice monitored patients’ oral health and gave appropriate health promotion advice. Staff explained treatment options to ensure that patients could make informed decisions about any treatment. There were systems in place for recording written consent for treatments. The practice worked well with other providers and made referrals where appropriate.

Staff records were complete in relation to continuous professional development (CPD) and the practice was able to fully demonstrate staff, where applicable, were meeting all the training requirements of the General Dental Council (GDC).

Caring

No action required

Updated 20 June 2016

We found that this practice was providing caring services in accordance with the relevant regulations.

We received feedback from patients on the day of inspection. Patients said they were treated with dignity and respect. They noted a positive and caring attitude amongst the staff. We found that dental care records were stored securely and patient confidentiality was well maintained.

Responsive

No action required

Updated 20 June 2016

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

Patients had access to appointments, including emergency appointments, which were available on the same day. The practice had a complaints policy and procedure in place. The practice also had a system in place to routinely collect feedback from patients.

Well-led

No action required

Updated 20 June 2016

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

Staff described an open and transparent culture where they were comfortable raising and discussing concerns with the area manager. We were told staff meetings took place regularly and we saw evidence of this.

The practice had a programme of clinical audit in place for reviewing radiographs and dental care records.

Governance arrangements were in place to guide the management of the practice. The practice had up to date policies and procedures such as an infection control policy and risk assessments were being regularly reviewed.