Cottingham Dental Practice

Updated 11 February 2016

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 carried out on the 17 November and was led by a CQC inspector and a specialist advisor.

We informed Healthwatch we were inspecting the practice; however we did not receive any information of concern from them.

The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.

During the inspection we spoke with a dentist who was the registered provider, two dental nurses and the practice manager. We saw policies, procedures and other records relating to the management of the service. We reviewed 45 CQC comment cards that had been completed.

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 11 February 2016

We carried out an announced comprehensive inspection on 17 November 2015 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

Cottingham Dental Practice is a dental service that provides private endodontic, implant treatment and inhalation sedation. The practice is located in Cottingham, in the East Riding of Yorkshire and close to the city of Hull.

The premises have been refurbished to a high standard and there is ground floor level access to the reception area, waiting room, a treatment room and toilet facilities. One the first floor another surgery is situated and a decontamination room, a dental panoramic X-ray room and the staff room.

There are two dentists, two hygiene therapists, a hygienist, two dental nurses, one of which is a trainee and a practice manager.

The practice is open:

Monday, Tuesday and Thursday 08:45 - 13:00 14:00 -17:30

Wednesday 10:00-13:00 – 14:00 -18:30

Friday 08:00 – 15:00

The practice owner 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 received 45 CQC comment cards providing feedback and spoke to three patients. The patients who provided feedback were positive about the care and treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to be friendly, respectful, professional and caring and they were treated with dignity and respect in a clean and tidy environment.

Our key findings were:

• Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it.
• Staff had been trained to manage medical emergencies.
• Infection prevention and control procedures were in accordance with the published guidelines.
• Patient care and treatment was planned and delivered in line with evidence based guidelines, best practice and current regulations.
• 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.
• There was a complaints system in place. Staff recorded complaints and cascaded learning to staff.
• The governance systems were effective.
• The practice sought feedback from staff and patients about the services they provided.

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

• Review audits of various aspects of the service, such as radiography, dental care records and sedation are undertaken at regular intervals to help improve the quality of service. The  practice should also ensure all audits have documented learning points and the resulting improvements can be demonstrated. In regard to the sedation audit this should take into consideration the Standards of Conscious Sedation in the provision of Dental Care 2015.