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Inspection Summary


Overall summary & rating

Updated 13 August 2015

We carried out an announced comprehensive inspection on 2 July 2015 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

PH Dental is a NHS dental practice located in the London Borough of Southwark. The patient population is mixed, serving patients’ from a wide range of social and ethnic backgrounds. The practice opens Monday to Fridays from 8.30am to 7.00pm and Saturdays from 10.00am to 12.00pm. The practice facilities include four surgeries, a decontamination room, disabled access toilet facilities and a separate reception area and patient waiting room. At the time of our inspection there were four dentists, four dental nurses, one trainee dental nurse, an area practice manager, a practice manager and reception staff.

We received 29 completed comment card and spoke with three patients during our inspection. The feedback we received was very positive about the service. Staff were described as efficient and friendly and patients generally thought the facilities were good.

The principal dentist 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.

Our key findings were:

  • There were effective processes in place to ensure patients were safeguarded from the risks of abuse
  • The practice had processes in place to reduce and minimise the risk of infection
  • Patients’ needs were assessed and treatment was planned and delivered in line with best practice guidance
  • Patients felt involved in making decisions about their treatment and received enough information to make informed decisions
  • Clinical staff were up to date with their continuing professional development and opportunities were available for all staff to develop
  • The practice had appropriate equipment and medication available to respond effectively to a medical emergency

Appropriate governance arrangements were in place to facilitate the smooth running of the service.

Inspection areas

Safe

Updated 13 August 2015

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

The provider had systems in place to ensure people were safeguarded from abuse. Systems were in place for the provider to receive safety alerts from external organisations. Processes were in place for staff to learn from incidents and accidents, lessons learnt were discussed at meetings and shared amongst staff. The practice had carried out numerous risk assessments and there were processes to ensure equipment and materials were well maintained and safe to use. Medicines and equipment were available in the event of an emergency.

Effective

Updated 13 August 2015

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

There were suitable systems in place to ensure patients’ needs were assessed and care and treatment was delivered in line with published guidance, such as from the National Institute for Health and Care Excellence and The Department of Health (DoH). Patients were given relevant information to assist them in making informed decisions about their treatment. Referrals were made and followed up appropriately.

Information was available to patients relating to health promotion including smoking cessation and maintaining good oral health. All clinical members of the dental team were meeting their requirements for continuing professional development.

Caring

Updated 13 August 2015

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

Feedback from patients indicated that staff were professional, caring and treated patients with dignity. We received 29 completed Care Quality Commission (CQC) comment cards and spoke with three patients. . The patients we spoke with were complimentary about staff describing them as professional and caring stating that they took time to explain treatment to them so they could make informed decisions.

Responsive

Updated 13 August 2015

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

Patients had access to the service which included a late opening and Saturday appointments. Information was available via the NHS choices website and a practice information pack was provided to patients. Urgent on the day appointment slots were available during opening hours. In any event patients were given details of the NHS ‘111’out of hours’ service.

There were systems in place for patients to make a complaint about the service if required. Information about how to make a complaint was readily available to patients.

Well-led

Updated 13 August 2015

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

Governance arrangements existed and there were policies and procedure for staff to refer to for the effective and smooth running of the practice. This included selection and recruitment policies, health and safety and infection control policies. Practice meetings were held monthly and staff were updated more often if required. Management lead with openness to create a culture of transparency in the organisation. Management structures were clearly defined and staff knew who to go to in the event of needing to see assistance from management. Staff had access to training and development opportunities and told us they felt supported and that leadership was good.