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Inspection Summary


Overall summary & rating

Updated 7 September 2016

We carried out an announced comprehensive inspection on 8 June 2016 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

Moat Road Dental Care is a dental practice providing mostly NHS dental treatment, with private treatment options for patients. The practice is owned and managed by the corporate provider Southern Dental. The practice is located in East Sussex. There are a few car parks close to the premises in the area.

The practice has six treatment rooms, one of which is on the ground floor.

The practice provides dental services to both adults and children. The practice provides mostly NHS treatment (90%). Services provided include general dentistry, dental hygiene, crowns and bridges, and root canal treatment. Patients also have the option of private treatment such as implants and cosmetic dentistry.

The practice’s opening hours are – Monday to Friday 8.30am to 5.30pm and Saturday 8am to 1pm.

Access for urgent treatment outside of opening hours is by telephoning the practice and following the instructions on the answerphone message or by telephoning the 111 NHS service.

The practice manager is registered with the Care Quality Commission (CQC) as a registered manager. 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.

The practice has six dentists (three of which work between other practices in the southern dental group); two hygienists, one of which is also a therapist, two qualified dental nurses, two receptionists, three trainee dental nurses and a practice manager. We spoke with three dentists, two nurses, one receptionist, the practice manager, the group’s head of compliance and the compliance manager. We spoke also spoke with two patients to get their views and experiences of the practice.

We provided CQC comment cards prior to our inspection and patients completed four cards. We spoke with patients and reviewed feedback that practice had received through the NHS Friends and family test (FFT).

Our key findings were:

• The practice was visibly clean and tidy.

• Records showed there were sufficient numbers of suitably qualified staff to meet the needs of patients.

• Patients at the practice gave mostly positive feedback about their experiences at the practice.

• Patients said they were treated with dignity and respect.

• The practice was well equipped.

• Dentists identified the different treatment options, and discussed these with patients.

• Patients’ confidentiality was maintained.

• The practice followed the relevant guidance from the Department of Health's: ‘Health Technical Memorandum 01-05 (HTM 01-05) for infection control with regard to cleaning and sterilizing dental instruments.

• The practice had the necessary equipment for staff to deal with medical emergencies, and staff had been trained how to use that equipment. This included an automated external defibrillator, oxygen and emergency medicines.

Inspection areas

Safe

No action required

Updated 7 September 2016

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

All staff had received up-to-date training in safeguarding vulnerable adults and children. There were clear guidelines for reporting concerns and the practice had a lead member of staff to offer support and guidance over safeguarding matters. Staff knew how to recognise the signs of abuse, and how to raise concerns when necessary.

The practice had emergency medicines and oxygen available, and an automated external defibrillator (AED). Regular checks were being completed to ensure the emergency equipment was in good working order.

Recruitment checks were completed on all new members of staff. This was to ensure staff were suitable and appropriately qualified and experienced to carry out their role.

The practice was visibly clean and tidy and there were infection control procedures to ensure that patients were protected from potential risks. The infection control procedures followed the Department of Health guidance HTM 01-05.

X-ray equipment was regularly serviced to make sure it was safe for use. Radiographs were checked for quality and to ensure that each image taken was of an appropriate standard.

Effective

No action required

Updated 7 September 2016

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

All patients were clinically assessed by a dentist before any treatment began.

The practice was following National Institute for Health and Care Excellence (NICE) guidelines for the care and treatment of dental patients. Particularly in respect of patient recalls, wisdom tooth removal and the non-prescribing of antibiotics for patients at risk of infective endocarditis (a condition that affects the heart).

The practice made referrals to other dental professionals when it was appropriate to do so. There were clear procedures for making referrals in a timely manner.

Caring

No action required

Updated 7 September 2016

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

We spoke with two patients and discussed their experiences. All of the information we received from patients provided a positive view of the service the practice provided. Patients told us that the care and treatment they received was kind and caring. We found that dental care records were stored securely and that confidentiality was maintained at all times.

Patients said they received good dental treatment and they were involved in discussions about their dental care.

Patients said they were able to express their views and opinions.

Responsive

No action required

Updated 7 September 2016

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

Patients said they could to get an appointment but sometimes there was a wait. However, patients who were in pain or in need of urgent treatment would be seen the same day.

The practice had access for patients with restricted mobility with level access into the building. Some patient areas were located on the ground floor. The practice had completed a disabled access audit to consider the needs of patients with restricted mobility

There were arrangements for emergency dental treatment outside of normal working hours, including weekends and public holidays which were clearly displayed in the practice.

There were systems and processes to support patients to make formal complaints. Where complaints had been made these were acted upon, and apologies given when necessary.

Well-led

No action required

Updated 7 September 2016

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

There was a clear management structure at the practice. Staff were aware of their roles and responsibilities within the dental team, and knew who to speak with if they had any concerns.

The practice was carrying out regular audits of both clinical and non-clinical areas to assess the safety and effectiveness of the services provided.

Staff said the practice was a friendly place to work, and they could speak with the dentists if they had any concerns.