ICE Hospital and Postgraduate Training Centre

We carried out this announced inspection on 11 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 second inspector and 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 not providing well-led care in accordance with the relevant regulations.

Background

ICE Hospital and Postgraduate Training Centre is in Manchester and provides private dental care and treatment for adults. Treatments include dental implants and treatment under conscious sedation. They also provide postgraduate training to dentists.

There is level access to the premises for people who use wheelchairs and those with pushchairs. The service has a car park with dedicated parking for people with disabilities.

The dental team includes 18 dentists, 12 dental nurses, a dental hygienist, a dental hygiene therapist, three consultant anaesthetists, a registered anaesthetic nurse, a recovery nurse, three operating department practitioners, a receptionist, a programmes administrator, a marketing executive, a secretary and a hospital manager. The practice has seven treatment rooms and an operating theatre.

The practice is owned by a company 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 ICE Hospital and Postgraduate Training Centre is one of the directors.

On the day of inspection, we collected 17 CQC comment cards filled in by patients.

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

The practice is open:

Monday to Friday from 9:00am to 5:30pm

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. Improvements could be made to the processes for managing the risks associated with fire and the use of radiation.
• The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The provider had staff recruitment procedures which reflected current legislation. Recruitment files were incomplete.
• 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. Improvements could be made to the process for ensuring staff were up to date with their training requirements.
• The provider asked patients for feedback about the services they provided.
• The provider dealt with complaints positively and efficiently.
• The provider had information governance arrangements.

We identified regulations the provider was not complying with. They must:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

Full details of the regulation the provider was not meeting are at the end of this report.