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Beverley House Dental Practice

Inspection Summary


Overall summary & rating

Updated 25 January 2017

We carried out an announced comprehensive inspection on 15 December 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

Beverley House Dental Practice is located in Hessle, Humberside and provides NHS and private treatment to patients of all ages.

Wheelchair users or pushchairs can access the practice through step free access. Car parking spaces are available near the practice.

The dental team is comprised of two dentists, three dental nurses, a dental hygiene therapist and a receptionist working within two treatment rooms.

On the day of inspection we received 12 CQC comment cards providing positive feedback.

During the inspection we spoke with the principal dentist, a dental nurse and a receptionist, to assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

The practice is open:

Monday, Wednesday and Thursday 9am – 5:30pm

Tuesday 9am -7pm

Friday 9am -5pm.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual and is legally responsible for making sure that the practice meets the requirements relating to safety and quality of care, as specified in the regulations associated with the Health and Social Care Act 2008.

Our key findings were:

  • The practice appeared clean and well maintained.
  • Infection control procedures were robust and the practice followed published guidance.
  • Staff had been trained to handle medical emergencies and appropriate medicines and life-saving equipment was in accordance with current guidelines.
  • The practice had systems in place manage risks.
  • Staff understood and received safeguarding training and knew how to recognise signs of abuse and how to report it.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Safe recruitment of staff was in place.
  • Treatment was well planned and provided in line with current guidelines.
  • Patients were treated with dignity and respect and confidentiality was maintained.
  • The appointment system met patients’ needs.
  • The service was aware of the needs of the local population and took these into account in how the practice was run.
  • The practice was well-led and staff felt involved and supported and worked well as a team.
  • The practice sought feedback from staff and patients about the services they provided.
  • Complaints were responded to in an efficient and responsive manor.

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

  • Review the process to check medical emergency equipment and medicines.
  • Review the process of flushing and recording water outlets that are not used daily.
Inspection areas

Safe

No action required

Updated 25 January 2017

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

The practice had effective systems and processes in place to ensure all care and treatment was carried out safely. For example, there were systems in place for infection prevention and control, clinical waste control, dental radiography and management of medical emergencies. All emergency medicines were in date and in accordance with the British National Formulary (BNF) and Resuscitation Council UK guidelines. We found the equipment and drugs were stored in separate areas within the practice and this could cause a delay when responding to a medical emergency.

Lessons and improvements were made when things went wrong.

Staff had received training in safeguarding patients and knew how to recognise the signs of abuse and who to report them.

Staff were suitably qualified for their roles and the practice had undertaken the relevant recruitment checks to ensure patient safety.

Premises and equipment were clean and maintained in accordance with current legislation and guidance.

Effective

No action required

Updated 25 January 2017

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

Patients’ dental care records provided comprehensive information about their current dental needs and past treatment.

Patients’ needs were assessed; care and treatment was delivered in line with current legislation and guidance.

Staff were supported to complete training relevant to their roles and this was monitored.

There was effective process in place to refer to other health care professionals if required.

Informed consent was obtained and recorded.

Caring

No action required

Updated 25 January 2017

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

The patients who provided feedback were positive about the care and attention to treatment they received at the practice. They told us they had received a good standard of care and treatment, and they were very happy with the treatment and attention to detail that was given.

Patients commented they were treated with dignity and respect.

We observed privacy and confidentiality were maintained for patients.

The staff recognised and respected people’s diversity, values and human rights.

Dental care records were kept securely in locked cabinets behind the reception desk and computers were password protected.

Responsive

No action required

Updated 25 January 2017

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

The practice had an efficient appointment system in place to meet patient’s needs.

Patients had access to telephone interpreter services and the practice had good wheelchair access.

The registered provider took in to account the needs of different people.

Patients could access treatment in a timely way.

Concerns, complaints and compliments were listened and responded to.

Well-led

No action required

Updated 25 January 2017

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

There were systems were in place to ensure the smooth running of the practice.

Patient dental care records were complete, legible and stored securely.

There was a clearly defined management structure in place and all staff felt supported and appreciated in their own particular roles.

Arrangements were in place to support communication about the quality and safety of services.

The practice regularly monitored clinical and non-clinical areas as part of a system of continuous improvement and learning.

The practice gathered the views of patients and staff about the service provided.