Updated 17 August 2022
We carried out this announced focused inspection on 28 July 2022 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 asked 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:
- The dental clinic was visibly clean and well-maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to help them manage risk to patients and staff.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which reflected current legislation.
- The clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect and staff 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.
- There was effective leadership and a culture of continuous improvement.
- Staff felt involved and supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
- Complaints were dealt with positively and efficiently.
- The dental clinic had information governance arrangements.
There were areas where the provider could make improvements. They should:
- Implement audits for prescribing of antibiotic medicines taking into account the guidance provided by the College of General Dentistry.
- Improve the security of NHS prescription pads in the practice and ensure there are systems in place to track and monitor their use.
- Take action to ensure the clinician considers the guidance provided by the College of General Dentistry when completing dental care records.
Background
Pocansey & Associates is in Tottenham, in the London Borough of Haringey, and provides NHS dental care and treatment for adults and children.
The practice is located on the first floor of a building close to Bruce Grove over ground train station. The practice does not have step free access. Patients requiring ground floor treatment rooms are signposted to another local practice that can offer this.
The dental team includes the principal dentist and a dental nurse, who also works as the receptionist. The practice has one treatment room and a separate decontamination room.
During the inspection we spoke with the principal dentist, the dental nurse and a dental nurse from a temporary staffing agency. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday from 9am to 5.30pm.