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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Updated 17 March 2016

We carried out an announced comprehensive inspection on 15 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

The provider offers private dental care services to patients of all ages and NHS for children aged up to 18 years. The services provided include preventative advice and treatment and routine and restorative dental care. The practice has two dentists, one dental hygienist and three qualified dental nurses.

The practice has a treatment room, reception area, waiting room and decontamination room. The building is on one floor, with access throughout the ground floor for patients with limited mobility. The practice is open on Monday to Friday from 8:30am until 5.20pm with extended opening hours on Monday and Thursday until 6:40pm and Saturday 8:50 to 12:40pm. The practice closes for lunch from 12:40 until 1:40pm daily.

We viewed 29 CQC comment cards that had been left for patients to complete, prior to our visit, about the services provided. In addition we spoke with two patients on the day of our inspection. Feedback from patients was positive about the care they received from the practice. They commented staff were caring and respectful and that they had confidence in the dental services provided. Patients told us they had no difficulties in arranging a convenient appointment and that staff put them at ease and listened to their concerns.

Our key findings were:

  • The practice had systems to assess and manage risks to patients, including infection prevention and control, health and safety and the management of medical emergencies.
  • The practice carried out oral health assessments and planned treatment in line with current best practice guidance, for example from the Faculty of General Dental Practice (FGDP). Patient dental care records were detailed and showed on-going monitoring of patients’ oral health.
  • Patients commented they felt involved in their treatment and that it was fully explained to them.
  • Patients were able to make routine and emergency appointments when needed. There were clear instructions for patients regarding out of hours care.
  • The dental practice had effective clinical governance and risk management structures in place. There were systems to monitor and continually improve the quality of the service; including through a programme of clinical and non-clinical audits.
  • Staff had received safeguarding training and knew the processes to follow to raise any concerns.
  • Staff had been trained to deal with medical emergencies and appropriate medicines and life-saving equipment were readily available and accessible.
  • There were clearly defined leadership roles within the practice and staff told us they felt well supported and comfortable to raise concerns or make suggestions.

Inspection areas

Safe

No action required

Updated 17 March 2016

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

the relevant regulations.

The practice had systems to assess and manage risks to patients. These included maintaining the required standards of infection prevention and control and responding to medical emergencies. There were systems in place for identifying, investigating and learning from incidents relating to the safety of patients and staff members.

There were clear procedures regarding the maintenance of equipment and the storage of medicines in order to deliver care safely. Medicines for use in the event of a medical emergency were safely stored and checked to ensure they were in date and safe to use. All staff had received training in responding to a medical emergency including cardiopulmonary resuscitation (CPR).

Effective

No action required

Updated 17 March 2016

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

the relevant regulations.

The practice followed

guidance issued by the Faculty of General Dental Practice (FGDP); for example, regarding taking X-rays at appropriate intervals. Patients’ dental care records provided comprehensive information about their current dental needs and past treatment. The practice monitored any changes in the patient’s oral health and made referrals to specialist services for further investigations or treatment if required.

Staff were knowledgeable about how to ensure patients had sufficient information and the mental capacity to give informed consent. Staff we spoke with were aware of the impact of patients’ and their family’s general health and wellbeing and were proactive in providing information and support.

Caring

No action required

Updated 17 March 2016

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

the relevant regulations.

We looked the CQC comment cards patients had completed prior to the inspection and spoke with patients on the day of the inspection. Patients were happy with the care they received and felt fully involved in making decisions about their treatment. The practice provided patients with information to enable them to make informed choices about treatment. Patients were given a copy of their treatment plan and associated costs. This gave patients clear information about the different elements of their treatment and the costs relating to them.

Staff explained how they ensured they protected patient’s privacy

and how they maintained confidentiality. Policies and procedures were in place regarding patient confidentiality and maintaining patient data securely.

Responsive

No action required

Updated 17 March 2016

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

Patients commented they had easy access to both routine and emergency appointments. The practice audited the suitability of the premises annually and identified changes they planned to make to support patients.

There was an effective system in place for acknowledging, recording, investigating and responding to complaints, concerns and suggestions made by patients. Information for patients about how to raise a concern or offer suggestions was available in the waiting room. This included contact details of other agencies if a patient was not satisfied with the outcome of the practice investigation into their complaint.

Well-led

No action required

Updated 17 March 2016

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

The practice identified, assessed and managed clinical and environmental risks related to the service provided. Lead roles supported the practice to identify and manage risks and helped ensure information was shared with all team members. There was a comprehensive range of policies and procedures in use at the practice which were easily accessible to staff.

The practice had a system to monitor and continually improve the quality of the service through a programme of clinical and non-clinical audits. Where areas for improvement had been identified action had been taken and there was evidence of repeat audits to monitor those improvements had been maintained.

The practice had systems in place to seek and act upon feedback from patients using the service. They shared the comments and suggestions received with patients and described the changes they had made.