You are here

Reports


Inspection carried out on 4 February 2020

During a routine inspection

We carried out this announced inspection on 4 February 2020 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a Care Quality Commission, (CQC), inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

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

Are services effective?

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

Are services caring?

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

Are services responsive?

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

Are services well-led?

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

Background

Princes Street Dental Care is in Yeovil and provides treatment for adults and children, which is mainly private dental care with a small NHS contract for existing patients.

The practice does not have level access for people who use wheelchairs and those with pushchairs. However, it does have a stair lift for some sections of stairs. There is a local car park available near the practice.

The dental team includes four dentists; three of which are partners, seven dental nurses, two dental hygienists, one receptionist and two practice managers (who also cover reception, when required). The practice has five treatment rooms.

The practice is owned by a partnership and as a condition of registration must have a person registered with the CQC as the registered manager. Registered managers 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 registered manager at Princes Street Dental Care is the practice manager.

On the day of inspection, we collected 13 CQC comment cards filled in by patients and spoke with four other patients.

During the inspection we spoke with three dentists, two dental nurses, one dental hygienist, one receptionist and the two practice managers. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

  • 8:30am – 5pm Monday to Friday

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had systems to help them manage risk to patients and staff.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures which should be further improved to ensure current legislation requirements were met.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • The provider had information governance arrangements.

There were areas where the provider could make improvements. They should:

  • Implement an effective system for monitoring and recording the temperature of where medicines were stored to ensure they are being stored in line with the manufacturer’s guidance.
  • Implement an effective recruitment procedure to ensure that appropriate checks are completed prior to new staff commencing employment at the practice.
  • Implement a system to ensure patient referrals to other dental or health care professionals are centrally monitored to ensure they are received in a timely manner and not lost.
  • Take action to ensure the clinicians carry out patient assessments and ensure they are in compliance with current legislation and take into account relevant nationally recognised evidence-based guidance.
  • Take action to implement any recommendations in the practice's fire safety risk assessment and ensure ongoing fire safety management is effective.
  • Take action to ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.

Inspection carried out on 4 March 2013

During a routine inspection

We spoke to four patients, all of whom were very complimentary about the practice. They felt that they were treated with respect and dignity. They told us that they were informed about the choices, costs, alternatives and possible outcomes of their treatment. One of the patients who had been attending the practice for over 40 years told us "A very good practice - excellent staff, they always listen to me" and another said "Very happy - they always seem to have time for you and explain everything". All four of the patients we spoke with had been attending the practice for over 10 years.

We found that a patient satisfaction survey had been done in an anonymous manner. From this survey we saw comments like "Excellent team and service, given with a smile at all times" and "Everyone is friendly and helpful". We found that the practice invited feedback and responded when appropriate.

The practice was friendly, welcoming and informative. We saw that patients were listened to in all areas of the practice. The surgery was clean throughout and there was evidence of a well supported staff. There was a plentiful supply of patient leaflets in the practice explaining treatment options and other relevant information.

We found that all patients were given sufficient information to give an informed consent and the staff were well trained and caring. The practice was well led by the practice owners and the staff were observed to be well organised.