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Inspection Summary


Overall summary & rating

Updated 25 June 2015

Ivory Dental – Coulsdon is a general dental practice in Coulsdon offering both NHS and private treatment. The practice treats adults and children.

The premises consist of a waiting area separate to the reception desk and three treatment rooms. There is also a separate decontamination room. The practice had undergone extensive refurbishment and development to ensure compliance with essential quality standards. The provider had a practice development plan which demonstrated a commitment to continual improvement and development.

The staff structure of the practice consists of the practice owner (principal dentist), four further part-time dentists, a practice manager, a receptionist and three dental nurses. The practice employs the services of a part time dentist who carries out dental implant treatment as well as two part time dental hygienists who carry out preventative advice and treatment.

Our key findings were:

We found that this practice was providing safe, effective, caring, responsive and well-led care in accordance with the relevant regulations.

  • There were effective systems in place to reduce the risk and spread of infection. We observed that all treatment rooms and equipment were very clean.
  • There were systems in place to check all equipment had been serviced regularly, including the suction compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment.
  • We found the dentists regularly assessed each patient’s gum health and took X-rays at appropriate intervals.
  • The practice ensured staff maintained the necessary skills and competence to support the needs of patients.
  • The practice kept up to date with current guidelines and was led by a proactive and forward thinking management team.
  • At our visit we observed staff were kind, caring, competent and put patients at their ease.
  • The practice had a strong emphasis on learning, development and improvement which was driven by a strong practice management team.
  • We reviewed six comment cards that had been completed by patients and spoke with two patients on the day of our inspection. Common themes were patients felt they were listened to and received very good care in a clean environment from a helpful and patient practice team.

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

  • Review availability of equipment to manage medical emergencies giving due regard to guidelines issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team.
Inspection areas

Safe

No action required

Updated 25 June 2015

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

The practice had systems in place for the management of infection control, clinical waste segregation and disposal, management of medical emergencies and dental radiography. We found the equipment used in the practice was well maintained and in line with current guidelines. There were systems in place for identifying, investigating and learning from incidents relating to the safety of patients and staff members. The staffing levels were safe for the provision of care and treatment.

Effective

No action required

Updated 25 June 2015

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

The practice provided evidence based dental care which was focussed on the needs of the patients. We saw examples of effective collaborative team working. The staff were up-to-date with current guidance and received professional development appropriate to their role and learning needs. Staff, who were registered with the General Dental Council (GDC), had frequent continuing professional development (CPD) and were meeting the requirements of their professional registration.

Caring

No action required

Updated 25 June 2015

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

Patients told us (through comment cards) they had very positive experiences of dental care provided at the practice. Patients felt they were listened to, treated with respect and were involved with the discussion of their treatment options which included risks, benefits and costs. We observed the staff to be caring, compassionate and committed to their work. Staff spoke with passion about their work and were proud of what they did.

Responsive

No action required

Updated 25 June 2015

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

The practice provided friendly and personalised dental care. Patients could access routine treatment and urgent or emergency care when required. The practice offered dedicated emergency slots each day enabling effective and efficient treatment of patients with dental pain. Patients told us through comment cards the practice staff were very responsive in supporting those patients who were particularly anxious or nervous to feel calm and reassured. The needs of patients with a disability had been considered in the development of the service.

Well-led

No action required

Updated 25 June 2015

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

The practice had a strong emphasis on learning and improvement which was driven by a strong practice management team who had established regular audit and monitoring processes, effective team communication and embedded practice values.

The practice had effective clinical governance and risk management structures in place. The provider and practice manager were always approachable and the culture within the practice was open and transparent. Staff were aware of the practice ethos and philosophy and told us they felt well supported and could raise any concerns with the provider or the practice manager. All staff told us they enjoyed working at the practice and would recommend it to a family member or friends.