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H Williams & Associates Dental Surgery

Inspection Summary


Overall summary & rating

Updated 5 April 2016

We carried out an announced comprehensive inspection on 25 February 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

H Williams & Associates Dental Surgery is located in Petts Wood, Orpington in the London Borough of Bromley. The practice has three treatment rooms, waiting and reception area and patient toilet, all the facilities situated on the ground floor.

The practice provides private dental treatment to children and adults. The practice offers a range of specialist dental treatments as well as routine examinations, treatments, veneers, crowns and bridges, implants, orthodontics and oral hygiene treatments. The practice is open Monday 8am-7.30pm, Tuesday – Thursday 8.30am - 7.30pm, Friday 8 am-6pm and Saturdays 9am - 1pm

The staff structure consists of a principal dentist, seven associate dentist, six dental nurses, three hygienists/therapists, two practice administrators and a practice manager.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. 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 inspection took place over one day and was carried out by a CQC inspector and a dental specialist advisor.

We received 49 CQC comment cards completed by patients and spoke with five patients during our inspection visit. Patients we spoke with, and those who completed comment cards, were positive about the care they received from the practice. They were complimentary about the friendly and caring attitude of the staff.

Our key findings were:

  • Patients’ needs were assessed and care was planned in line with current guidance such as from the National Institute for Health and Care Excellence (NICE).

  • There were effective systems in place to reduce and minimise the risk and spread of infection.
  • The practice had effective safeguarding processes in place and staff understood their responsibilities for safeguarding adults and children living in vulnerable circumstances.
  • Equipment, such as the air compressor, autoclave (steriliser), fire extinguishers, and X-ray equipment had all been checked for effectiveness and had been regularly serviced.

  • Patients indicated that they felt they were listened to and that they received good care from a helpful and caring practice team.

  • The practice had implemented clear procedures for managing comments, concerns or complaints.
  • The practice manager had a clear vision for the practice and staff told us they were well supported by the management team.
  • Governance arrangements and audits were effective in improving the quality and safety of the services.
Inspection areas

Safe

No action required

Updated 5 April 2016

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

The practice had systems in place to minimise the risks associated with providing dental services. There was a safeguarding lead and staff understood their responsibilities in terms of identifying and reporting any potential abuse. There was an electronic system in place for updating policies and protocols, which informed staff of any requirements to review practice, audit or arrange training. This included the management of infection control, medical emergencies and dental radiography. We found the equipment used in the practice was well maintained and checked for effectiveness.

There were systems in place for identifying, investigating and learning from incidents relating to the safety of patients and staff members. There were regular meeting to provide staff with feedback from any incidents.

Effective

No action required

Updated 5 April 2016

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

The practice provided evidence-based care in accordance with relevant, published guidance, for example, from the Faculty of General Dental Practice (FGDP), National Institute for Health and Care Excellence, (NICE) and the General Dental Council (GDC). The practice monitored patients’ oral health and gave appropriate health promotion advice. Staff explained treatment options to ensure that patients could make informed decisions about any treatment. The practice worked well with other providers and followed up on the outcomes of referrals made to other providers. Staff were undertaking continuous professional development (CPD) and were meeting the training requirements of the GDC.

Caring

No action required

Updated 5 April 2016

We found that this practice was providing caring services in accordance with

the relevant regulations.

We reviewed 49 completed CQC comments cards and spoke with five patients on the day of the inspection. Patients were positive about the care they received from the practice. Patients commented they felt fully involved in making decisions about their treatment, were made comfortable and felt, their concerns, if any would be listened to.

We noted that patients were treated with respect and dignity during interactions at the reception desk and over the telephone.

Patients were invited to provide feedback via a satisfaction survey and the feedback was positive.

Responsive

No action required

Updated 5 April 2016

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

The needs of people with disabilities had been considered. There was level access to the waiting area and treatment rooms, although the front access was narrow, staff were available to provide assistance.

Patients were invited to provide feedback via a satisfaction survey. There was a clear policy in place which was used to handle complaints as they arose. The practice had received two complaints in the past year. We saw that these had been dealt with promptly and that the complaints handling procedure had been disseminated to staff during the team meetings.

Patients had good access to appointments, including emergency appointments, which were available on the same day.

Well-led

No action required

Updated 5 April 2016

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

The practice had suitable clinical governance and risk management structures in place. There were processes in place for dissemination of information and feedback to all staff. There were appropriate audits used to monitor and improve care.

Staff described an open and transparent culture where they were comfortable raising and discussing concerns with the principal dentist. They were confident in the abilities of the management team to address any issues highlighted.

There was a strategy and vision in place to develop the practice and improve the practice environment. .