Openshaw Dental Practice

Updated 1 October 2015

The inspection was carried out on 04 August 2015 by an inspector and a dental specialist advisor. Before the inspection we reviewed all of the information we hold about the provider and any information received from the provider prior to the inspection.

We informed NHS England area team that we were inspecting the practice; however we did not receive any information of concern from them.

On the day of our inspection we looked at the policies and procedures at the practice, dental care records and other records relating to the management of the service. We spoke with the dentist and two dental nurses. We were taken on a tour of the practice and looked at medicines and equipment for use in the event of a medical emergency. Dental nurses showed us the processes in place for the decontamination of used dental instruments and we observed staff interactions with patients in the waiting area.

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 1 October 2015

We carried out an announced comprehensive inspection on 4 August 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.

Openshaw Dental Practice is located to the east of Manchester city centre. The practice is owned and run by Mr Robert Brown (principal dentist) and provides mostly (99%) NHS primary dental care and a small amount (1%) of private dentistry to patients in and around the Openshaw area.

The principal dentist is the registered person. 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.

Mr Robert Brown is the sole dentist at this practice and he is supported by three registered dental nurses who also share reception duties. The practice is situated in a converted residential property. There is a reception and waiting area, a treatment room and a dedicated decontamination room on the ground floor and a toilet and staff room/kitchen on the first floor. The practice is generally open from 9.15am to 7pm Monday and Tuesday and 9.15am to 5.30pm on all other weekdays.

We received feedback from 17 patients who completed CQC comment cards and we spoke with six patients who were attending the practice for an appointment.

Our key findings were:

• Patient’s needs were assessed and care was planned and delivered in accordance with current best practice guidance for example the Faculty of General Dental Practice (FGDP) and the National Institute for Health and Care Excellence.

• Staff showed an understanding of the principles of the Mental Capacity Act 2005 (MCA) in relation to gaining informed consent.

• Patients told us they were treated with dignity and respect and were involved in planning their treatment. This included being given information about various treatment options and the cost of treatments.

• There were systems in place to manage risks such as safeguarding and medical emergencies. Staff had received appropriate training to manage medical emergencies.

• Patients told us they were able to make routine and emergency appointments when needed.

• There was a complaints policy and procedure in place and if a mistake was made that affected a patient an apology would be given and patients would be notified about the outcome of any investigation

• There was a clear leadership structure. Staff told us they were able to make suggestions or raise concerns and felt they would be listened to. Staff were up to date with their continuing professional development and told us annual appraisals were carried out.

• There were systems in place for patients to comment on the care and treatment that they received at the practice. This included a suggestion box and annual patient surveys.

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

• Ensure that hand written dental care records are clear and legible.
• Update their policies and procedures for the safe use of dental sharps to reflect the requirements of the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013 and the EU directive concerning the safer use of sharps which came into force in May 2013.