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Inspection Summary


Overall summary & rating

Updated 17 September 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

Background

Staplehurst dental practice provides general dentistry, such as treating tooth decay and gum disease, and other procedures such as tooth straightening. The practice provides private services for approximately 1,000 patients in Staplehurst, Kent and the surrounding area.

The practice staff included a practice manager, a business manager, a dentist, a dental therapist and two dental nurses. Dental services are provided Monday 8am to 7pm, Tuesday 8am to 4pm, Wednesday and Thursday 8am to 5pm and Fridays and Saturdays 8am to 1pm.

The registered manager had recently left the practice and the new practice manager was in the process of registering with the Commission. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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 talked to five patients. They said that the practice offered an excellent service and staff were efficient, helpful and caring. All commented that staff always had time to spend with them. They did not feel that staff were pressured to complete procedures and staff took time to explain what they were doing. They said that staff treated patients with dignity and respect.

Our key findings were:

The practice was providing safe, effective, caring, responsive and well led care in accordance with the relevant regulations.

  • There were effective systems to reduce the risk and spread of infection. We found all treatment rooms and equipment appeared clean.
  • There were systems to check all equipment had been serviced regularly, including the suction compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment.
  • Dentists regularly assessed each patient’s gum health and took X-rays at appropriate intervals.
  • The practice ensured staff maintained the necessary skills and competencies to support the needs of patients.
  • The practice kept up to date with current guidelines
  • Leadership and communication were central to practice values.
  • Patients were provided with information and were involved in decision making about the care and treatment they received. We observed staff to be were kind, caring, and worked hard to put patients at their ease.

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

  • Review the fixtures and fittings of the decontamination room.
Inspection areas

Safe

No action required

Updated 17 September 2015

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

There were systems for the management of infection control, clinical waste, medical emergencies and dental radiography. Staff had received training in safeguarding and knew the signs of abuse and how to report this. There was a whistleblowing policy and staff were aware of it. The equipment used in the practice was well maintained and in line with current guidelines. There were systems for identifying, investigating and learning from incidents. The staffing levels were safe for the provision of care and treatment provided.

Effective

No action required

Updated 17 September 2015

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

The practice provided evidenced based dental care which was focussed on the individual needs of each patient. Consultations were carried out in line with recognised guidance from the National Institute for Health and Care Excellence (NICE) and the General Dental Council (GDC). Patients received a comprehensive assessment of their dental needs and their medical history was kept up to date. Staff registered with the GDC had frequent continuing professional development and were meeting the requirements of their professional registration. Consent to care and treatment was obtained from patients and recorded appropriately.

Caring

No action required

Updated 17 September 2015

We found that this practice was providing caring services in accordance with the relevant regulations.

Patients told us that they had found the practice supportive. They said they were listened to, treated with respect and were involved with the discussion of their treatment options which included risks, benefits and costs. There was provision to see patients with urgent dental needs on the day they called and this almost always happened.

Responsive

No action required

Updated 17 September 2015

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

Appointment times met the needs of patients. Patients with mobility issues were directed to other local dentists as the practice could not accommodate them. The practice was very responsive in supporting patients who were particularly anxious or nervous including providing time for these patients to meet the practice team before any consultation. The practice handled complaints openly and transparently. The complaints procedure was readily available to patients and the practice responded to complaints and learned from them.

Well-led

No action required

Updated 17 September 2015

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

The practice had effective clinical governance and risk management systems. There was a pro-active approach to dealing with safety issues and the practice learned and made improvements. The practice management were approachable and supportive of staff. Staff felt that they could raise concerns with any member of the management team. The practice sought the views of staff and patients and had implemented suggestions such as the provision of an intercom system within the practice.