Archived: Roe Lane Family Dental Practice

Updated 6 July 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 practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This inspection took place on the 8 June 2016. The inspection team consisted of a CQC inspector and a dental specialist advisor.

We also reviewed information we asked the provider to send us in advance of the inspection. This included their latest statement of purpose describing their values and their objectives, a record of any complaints received in the last 12 months and details of their staff members, their qualifications and proof of registration with their professional bodies.

During the inspection we toured the premises and spoke with the principal dentist, two associate dentists, three dental nurses and the practice manager. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

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 6 July 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

Roe Lane Family Dental Practice offers mainly NHS (more than 95%) and some private dental care services to patients of all ages. The services provided include preventative advice and treatment, routine and restorative dental care. The practice has four treatment rooms, two waiting areas and a reception area. Treatment and waiting rooms are on the ground and first floor of the premises. There is wheelchair access to the ground floor treatment room.

The practice has one principal dentist, who is the owner, and five associate dentists. There are nine qualified dental nurses in addition to a practice manager. The practice is open from 8.15am until 7.00pm each Monday and from 8.45am until 5.45pm Tuesday to Friday.

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.

We viewed 17 CQC comment cards that had been left for patients to complete, prior to our visit, about the services provided. In addition we spoke with five patients on the day of our inspection. We reviewed patient feedback gathered by the practice through patient surveys and comments from the NHS Friends and Family Test. Feedback from patients was overwhelmingly positive about the care they received from the practice. They commented staff were caring, respectful and they had confidence in the dental services provided. Patients told us they had no difficulties in arranging routine or emergency appointments and staff put them at ease and listened to their concerns.

Our key findings were

• We found the practice ethos was to provide patient centred dental care in a relaxed and friendly environment.
• The practice had systems to assess and manage risks to patients, including infection prevention and control, health and safety, safeguarding, recruitment and the management of medical emergencies.
• Dentists provided dental care in accordance with current professional and National Institute for Care Excellence (NICE) guidelines.
• Patients commented they felt involved in their treatment and that it was fully explained to them.
• Patients were able to make routine or 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 a programme of clinical and non-clinical audits.
• 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.
• Staff had received training appropriate to their roles and were supported in their continued professional development (CPD) by the practice owner and practice manager.