Archived: Mydentist - Church Road - Stainforth Also known as mydentist

Updated 27 February 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008

The inspection was led by a CQC inspector who was supported by a second CQC inspector.

To assess the quality of care provided we looked at practice policies and procedures and other records relating to the management of the service.

We contacted the NHS local area team prior to our visit for information on the practice; nothing of concern was highlighted.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 27 February 2017

We carried out an announced comprehensive inspection on 10 January 2017 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

Whitecross Dental, Church Road, Doncaster is situated on the main road in Stainforth and is part of the Mydentist group. The practice is a two story converted house providing mainly NHS and private treatment to patients of all ages. It comprises two treatment rooms; one on each floor, a decontamination room for sterilising instruments, a reception/waiting area, a staff room/kitchen and a general office.

Access for wheelchair users and pushchairs is possible by a step free entrance, which leads into the reception and waiting area. Car parking is available close by on the main road.

The dental team is comprised of one dentist (one dentist is currently being recruited), a practice manager, four dental nurses and one receptionist.

The practice is open:

Monday to Friday 8:30am to 5:30pm

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.

On the day of inspection we spoke with one dentist, two dental nurses, one receptionist and the practice manager. The area manager and regulatory officer were also present for the inspection. We were told by the area manager that recent staffing problems had become a priority and recruitment of a second dentist was in hand.

We received 17 CQC comment cards providing varied feedback. Some patients who provided feedback were very positive about the care and attention to treatment they received at the practice. Patients commented they were involved in all aspects of their care and found the staff to be caring, reassuring and helpful. Patients commented that there was sometimes a long delay from the time of their appointment to actually seeing the dentist and others commented that dentist appeared not to stay long at this practice. Patients stated staff were good at communicating information, they could access emergency care easily and they were treated with dignity and respect.

Our key findings were:

• The practice had systems in place to assess and manage risks to patients and staff including infection prevention and control, health and safety and the management of medical emergencies.
• The practice was visibly clean and tidy.
• Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it. They had systems in place to work closely and share information with the local safeguarding team.
• The practice was reviewing its staff numbers and availability.
• Infection control procedures were in accordance with the published guidelines.
• Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• Treatment was well planned and provided in line with current best practice guidelines.
• Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
• Patients were treated with dignity and respect and confidentiality was maintained.
• The appointment system met patients’ needs.
• The practice had undertaken a governance review, put remedial actions into place and further improvements were being addressed.
• The practice sought feedback from staff and patients about the services they provided.
• There were newly defined leadership roles within the practice and staff felt supported at all levels.

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

• Review the practice’s Medicines and Healthcare Products Regulatory Authority (MHRA) reporting procedure and embed the process within the practice.
• Review the practice audit processes to monitor and track the use of prescription pads.
• Review the practice’s knowledge on the principles of the Mental Capacity Act 2005(MCA) and the concept of Gillick competence and provide refresher training for all staff.
• Review the practice’s procedure for carrying out X-ray audits annually to meet the requirements of the National Radiological Protection Board (NRPB) guidance and IR(ME)R 2000 regulations.