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Inspection Summary


Overall summary & rating

Updated 22 November 2016

We carried out an announced comprehensive inspection on 26 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

Alba Dental Care located in Tower Hamlet provides NHS and private dental treatment to patients of all ages.

Practice staffing consists of the two principal dentist, two dental nurses and a receptionist.

The principal dentists are registered with the Care Quality Commission (CQC) as individual 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 practice is open Monday to Friday 9am to 5pm.

The practice facilities include two treatment rooms, a reception and waiting area for patients, a decontamination room and an office and kitchen area.

Fifteen patients provided feedback about the service. Patients we spoke with and those who completed comment cards were very positive about the care they received about the service. Patients told us that they were happy with the treatment and advice they had received.

Our key findings were:

  • Staff had received safeguarding children and adults training and knew the processes to follow to raise any concerns. The practice had whistleblowing policies and procedure and staff were aware of these and their responsibilities to report any concerns.
  • Equipment, such as the autoclaves, fire extinguishers, and X-ray equipment had all been checked for effectiveness and had been regularly serviced.
  • Patients were treated with dignity and respect and confidentiality was maintained.
  • There were systems in place to reduce the risk and spread of infection. Dental instruments were cleaned and sterilised in line with current guidance.
  • Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
  • 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).
  • The practice had a procedure for handling and responding to complaints, which were displayed and available to patients.
  • Staff had been trained to handle medical emergencies, However not all appropriate medicines were readily available
  • Governance systems were effective and there were a range of policies and procedures in place which underpinned the management of the practice.

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

  • Review its responsibilities as regards the Control of Substance Hazardous to Health (COSHH) Regulations 2002 and, ensure all documentation is up to date and staff understand how to minimise risks associated with the use of and handling of these substances.
  • Review the practice’s protocols for the use of rubber dam for root canal treatment taking into account guidelines issued by the British Endodontic Society.
Inspection areas

Safe

No action required

Updated 22 November 2016

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

Patients were protected against the risks of abuse or harm through the practice policies and procedures. Staff were trained to recognise and report concerns about patients’ safety and welfare and had access to contact details for the local safeguarding team.

The practice had systems in place for identifying, investigating and learning from incidents relating to the safety of patients. The infection prevention and control practices at the surgery followed current national guidance.

Equipment at the practice was regularly maintained, tested and monitored for safety and effectiveness.

There were arrangements in place to deal with medical emergencies and staff had annual training.

The practice had undertaken a risk assessment in relation to the Control of Substances Hazardous to Health 2002 (COSHH) regulations However this had not been reviewed or updated for many years.

Effective

No action required

Updated 22 November 2016

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

The practice provided evidence-based care in accordance with relevant, published guidance, for example, from the Faculty of General Dental Practice (FGDP), National Institute for Health and Care Excellence (NICE) Department of Health (DH) and the General Dental Council (GDC).

Health education for patients was provided by the dentists They provided patients with advice to improve and maintain good oral health

The practice ensured that patients were given sufficient information about their proposed treatment to enable them to give informed consent.

The staff kept their training up-to-date and received professional development appropriate to their role and learning needs. Staff who were registered with the General Dental Council (GDC) demonstrated that they were supported by the practice in continuing their professional development (CPD) and were meeting the requirements of their professional registration.

Caring

No action required

Updated 22 November 2016

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

Patients felt listened to and were given appropriate information and support regarding their care or treatment. They felt their dentist explained the treatment they needed in a way they could understand. Staff had a good awareness of how to support patients who may lack capacity to make decisions about their dental care and treatment.

Patients were complimentary about the practice and how the staff treated them. Patients commented positively on how caring and helpful staff were, describing them as friendly, compassionate and professional.

Responsive

No action required

Updated 22 November 2016

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

Appointment times met the needs of patients and waiting times were kept to a minimum. Staff told us all patients who requested an urgent appointment would be seen where possible on the same day or within 24 hours.

Patients who had difficulty understanding care and treatment options were suitably supported.

The practice had a procedure in place for dealing with complaints.

Well-led

No action required

Updated 22 November 2016

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

The practice had a range of policies and procedures for the smooth running of the service. The nurse we spoke with described an open and transparent culture where they were comfortable raising and discussing concerns with each other.

There was a pro-active approach to identifying safety issues and making improvements in procedures.

There was a culture of candour, openness, honesty and transparency at the practice.

Patients’ views were regularly sought by way of a patient survey and these were acted upon as required. Staff commented that the principal dentist was open to feedback regarding the quality of the care.