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Inspection Summary


Overall summary & rating

Updated 3 July 2017

We carried out this announced inspection on 7 June 2017 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 CQC inspector who was supported by a specialist dental adviser.

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 form the framework for the areas we look at during the inspection.

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

Parkside Dental Practice is located in Bromsgrove and provides private and a small NHS contract for dental treatments to patients of all ages.

The dental team includes two dentists, five dental nurses, one trainee dental nurse, two dental hygienists, a dental hygienist / therapist, a practice manager and an office manager.

The practice relocated to purpose built premises in 2011 and are situated within a health centre complex. The practice is on the ground floor and has a reception area, a waiting room, an admin office, three dental treatment rooms, a staff room and a two decontamination rooms (a dirty room and a clean room) for the cleaning, sterilising and packing of dental instruments. The building and has level access and an assisted toilet for patients who use wheelchairs and pushchairs. Car parking spaces are available for patients with disabled badges near the practice.

The practice is owned by an individual who is the principal dentist there. They 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 collected 28 CQC comment cards filled in by patients. This information gave us a positive view of the practice.

During the inspection we spoke with two dentists, four dental nurses, a trainee dental nurse, one dental hygienist, the office manager and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday: 8.30am to 4.30pm

Tuesday: 8.30am to 5.30pm

Wednesday: 8.30am to 6pm

Thursday: 8.30am to 5pm

Friday: 8.30am to 4.30pm

Our key findings were:

  • The practice was 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. However on the day of our inspection there was no paediatric oxygen mask and the adult oxygen mask needed replacing. These were both ordered on the day of our inspection.
  • The practice had systems to help them manage risk.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The appointment system met patients’ needs.
  • The practice had effective leadership. Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice dealt with complaints positively and efficiently.

There were areas where the provider could make improvements. They should:

  • Review monitoring processes and protocols to ensure effective monitoring of incident procedures, medicine fridge temperatures, and dental material expiry date procedures.
  • Review the practice’s protocols for the use of rubber dam for root canal treatment taking into account guidelines issued by the British Endodontic Society.
Inspection areas

Safe

No action required

Updated 3 July 2017

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

The practice had some systems and processes to provide safe care and treatment. However we found two dental materials in one of the surgeries that had expired and not been removed. The medicines fridge temperatures were not being monitored to ensure that the medicines were kept in accordance with manufacturers’ guidelines.

The practice used learning from incidents and complaints to help them improve. We found that the practice had discussed incidents at staff meetings but did not have incident forms in line with the incident reporting policy.

Staff received training in safeguarding and knew how to recognise the signs of abuse and how to report concerns.

Staff were qualified for their roles and the practice completed essential recruitment checks.

Premises and equipment were clean and properly maintained. The practice followed national guidance for cleaning, sterilising and storing dental instruments.

The practice had arrangements for dealing with medical and other emergencies. However on the day of our inspection there was no paediatric mask and the adult mask needed replacing. These were both ordered on the day of our inspection.

Effective

No action required

Updated 3 July 2017

We found that this practice was providing effective care in accordance with

the relevant regulations.

The dentists assessed patients’ needs and provided care and treatment in line with recognised guidance. Patients described the treatment they received as excellent, relaxed and considerate. The dentists discussed treatment with patients so they could give informed consent and recorded this in their records.

One of the dental hygienists had developed a patient information leaflet detailing the importance of preventative oral health care and how dental hygiene appointments can support this.

The principal dentist and a practice nurse visited a local nursery group on an annual basis to deliver healthy eating advice in relation to oral health education and to engage with the local community.

The practice had clear arrangements when patients needed to be referred to other dental or health care professionals.

The practice supported staff to complete training relevant to their roles and had systems to help them monitor this. At the time of our inspection the practice were supporting a trainee dental nurse to become qualified.

Caring

No action required

Updated 3 July 2017

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

the relevant regulations.

We received feedback about the practice from 28 people. Patients were positive about all aspects of the service the practice provided. They told us staff were caring, polite and professional. They said that they were given the right care and treatment at the right time and said their dentist listened to them. Patients commented that they made them feel at ease, especially when they were anxious about visiting the dentist.

We saw that staff protected patients’ privacy and were aware of the importance of confidentiality. Patients said staff treated them with dignity and respect.

Responsive

No action required

Updated 3 July 2017

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

The practice’s appointment system was efficient and met patients’ needs. Patients could get an appointment quickly if in pain.

Staff considered patients’ different needs. This included providing facilities for disabled patients and families with children. The practice had access to interpreter services and had arrangements to help patients with sight or hearing loss.

We saw positive examples where the dentists had managed to engage and complete treatment for patients with learning disabilities where this had not been possible by other providers.

The practice took patients views seriously. They valued compliments from patients and responded to concerns and complaints quickly and constructively.

Well-led

No action required

Updated 3 July 2017

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

The practice had arrangements to ensure the smooth running of the service. These included systems for the practice team to discuss the quality and safety of the care and treatment provided. There was a clearly defined management structure and staff felt supported and appreciated.

The practice team kept complete patient dental care records which were, clearly written or typed and stored securely.

The practice monitored clinical and non-clinical areas of their work to help them improve and learn. This included asking for and listening to the views of patients and staff.