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Archived: Genix Healthcare Dental Clinic - Conisbrough

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Updated 6 January 2017

We carried out an announced comprehensive inspection on 8 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

Genix Healthcare Dental Clinic - Conisbrough is situated in South Yorkshire. It provides predominantly NHS treatment to patients of all ages. The services include preventative advice and treatment and routine restorative dental care.

The practice has four surgeries, a decontamination room, a waiting and reception area. The reception area, waiting area and two surgeries are on the ground floor. The other two surgeries are on the first floor. There is access for wheelchair users and those with limited mobility.

There are four dentists, one dental hygiene therapist, six dental nurses (two of whom are trainees) and a practice manager (who is also a qualified dental nurse).

The opening hours are:

Monday from 8:30am to 6:00pm,

Tuesday, Wednesday and Friday from 8:30am to 5:30pm

Thursday from 8:30am to 6:30pm.

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 spoke with 16 patients who used the service and reviewed two completed CQC comment cards. The patients commented that staff were helpful and kind. Two patients commented they felt they could not get an appointment in a timely manner.

Our key findings were:

  • The practice was visibly clean and tidy.
  • The practice had systems in place to assess and manage risks to patients and staff including health and safety and the management of medical emergencies.
  • Staff were qualified and had received training appropriate to their roles.
  • Patients were involved in making decisions about their treatment and were given clear explanations about their proposed treatment.
  • Dental care records showed treatment was planned in line with current best practice guidelines.
  • Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
  • We observed patients were treated with kindness and respect by staff.
  • Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood.
  • The practice had a complaints system in place and there was an openness and transparency in how these were dealt with.
  • The governance systems were effective.
  • There were clearly defined leadership roles within the practice and staff told us they felt supported, appreciated and comfortable to raise concerns or make suggestions.
  • Some patient’s felt the appointment system did not meet their individual needs.

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

  • Review staff awareness of Gillick competency and ensure all staff are aware of their responsibilities.
  • Review the practice’s waste handling policy and procedure to ensure waste is segregated and disposed of in accordance with relevant regulations giving due regard to guidance issued in the Health Technical Memorandum 07-01 (HTM 07-01).
  • Review the practice’s audit protocols of radiography to help improve the quality of service. Practice should also check all audits have documented learning points and the resulting improvements can be demonstrated.
Inspection areas

Safe

No action required

Updated 6 January 2017

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

Staff told us they felt confident about reporting incidents and accidents. There was an effective system for the analysis of such events and they were discussed at practice meetings.

Staff had received training in safeguarding at the appropriate level and knew the signs of abuse and who to report them to.

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

Patients’ medical histories were obtained before any treatment took place. The dentists were aware of any health or medication issues which could affect the planning of treatment. Staff were trained to deal with medical emergencies. All emergency equipment and medicines were in date and in accordance with the British National Formulary (BNF) and Resuscitation Council UK guidelines.

The decontamination procedures were effective and the equipment involved in the decontamination process was regularly serviced, validated and checked to ensure it was safe to use.

We noted the lock on the clinical waste bin was broken and could not be locked. This was highlighted to the practice manager on the day of inspection and we were told this would be addressed.

Effective

No action required

Updated 6 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. The practice monitored any changes to the patient’s oral health and provided treatment when appropriate.

The practice followed best practice guidelines when delivering dental care. These included Faculty of General Dental Practice (FGDP), National Institute for Health and Care Excellence (NICE) and guidance from the British Society of Periodontology (BSP). The practice focused strongly on prevention and the dentists were aware of the ‘Delivering Better Oral Health’ toolkit (DBOH) with regards to fluoride application and oral hygiene advice.

Staff were encouraged to complete training relevant to their roles and this was monitored by the practice manager. The clinical staff were up to date with their continuing professional development (CPD).

Referrals were made to secondary care services if the treatment required was not provided by the practice.

Not all staff were fully aware of the principle of Gillick competency. This was highlighted on the day of inspection and we were told further training would be conducted for the relevant staff.

Caring

No action required

Updated 6 January 2017

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

During the inspection we spoke with 16 patients who used the service and reviewed two completed CQC comment cards. The patients commented that staff were helpful and kind.

We observed the staff to be welcoming and caring towards the patients.

We observed privacy and confidentiality were maintained for patients using the service on the day of the inspection.

Staff explained that enough time was allocated in order to ensure that the treatment and care was fully explained to patients in a way which they understood.

Responsive

No action required

Updated 6 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 respond to patients’ needs. There were vacant appointments slots for urgent or emergency appointments each day.

Two patients commented they felt they could not get an appointment in a timely manner. The practice manager was aware of this issue and told us they were currently recruiting a new dentist and had started to offer appointments on a Saturday.

There was a procedure in place for responding to patients’ complaints. This involved acknowledging, investigating and responding to individual complaints or concerns. Staff were familiar with the complaints procedure.

The practice had made reasonable adjustments to enable wheelchair users or patients with limited mobility to access treatment.

Well-led

No action required

Updated 6 January 2017

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

There was a clearly defined management structure in place and all staff felt supported and appreciated in their own particular roles. The practice manager was responsible for the day to day running of the practice.

Effective arrangements were in place to share information with staff by means of monthly practice meetings which were well minuted for those staff unable to attend.

The practice regularly audited clinical and non-clinical areas as part of a system of continuous improvement and learning. The process for conducting the X-ray audit required improvement as it did not fully assess the quality of the X-rays taken. This was highlighted to the practice manager on the day of inspection.

They conducted quarterly patient satisfaction surveys, were currently undertaking the NHS Friends and Family Test (FFT) and there was a comments box in the waiting room for patients to make suggestions to the practice.