You are here

Archived: The White House Dental Practice

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Updated 24 December 2015

We carried out an announced comprehensive inspection on 17 November 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

The practice is situated in Heswall, an affluent area of Wirral. The practice has been refurbished to a high standard. The practice has one principal dentist, an associate dentist, three dental hygienists, a practice manager, six qualified dental nurses and a receptionist. The practice provides primary dental services to private patients only. The practice is open Monday – Thursday 8.30am – 5pm, and Friday 8.30am -1pm

The principal dentist is the registered provider. A registered provider is registered with the Care Quality Commission to manage the service. Registered providers 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 received feedback from 49 patients about the service. The comment cards seen and patients spoken to reflected positive comments about the staff and the services provided. Patients commented that the practice appeared very clean and they found the staff very caring and friendly. They had trust and confidence in the dental treatments and said explanations from clinicians were clear and understandable. Emergency appointments were available on the same day and appointments usually ran on time.

Our key findings were:

  • The practice recorded and analysed accidents, incidents and complaints and cascaded learning to staff when they occurred.
  • Staff had received safeguarding training and knew the processes to follow to raise any concerns.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Staff had been trained to deal with medical emergencies and emergency medicines and emergency equipment were available.
  • Infection control procedures were in place.
  • Patients’ care and treatment was planned and delivered in line with evidence based guidelines, best practice and current legislation.
  • Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
  • Patients were treated with dignity and respect and their confidentiality was maintained.
  • The appointment system met the needs of patients and waiting times were kept to a minimum.
  • The practice staff felt involved and worked as a team.
  • The practice took into account any comments, concerns or complaints and used these to help them improve.

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

  • Improving the significant clinical event reporting system to distinguish between clinical events and accidents.
  • Review how patient safety and other relevant alerts and guidance are followed and actions taken are recorded.
  • Reviewing and updating policies and procedures including recruitment policies and procedures to ensure they meet relevant guidelines and legislation.
  • Obtaining and assessing written references for newly employed staff.
  • Storing temperature sensitive materials in an appropriate fridge that is monitored and maintained to ensure it remains effective.
  • The use of an illuminated magnifying glass to inspect dental equipment after cleaning.
  • Obtaining documented evidence of clinical staff’s immunisation status.
  • Implementation of a business continuity plan.
  • Undertaking regular fire safety training and fire drills.
Inspection areas

Safe

No action required

Updated 24 December 2015

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

The practice had systems and processes in place to ensure care and treatment was carried out safely. In the event of an incident, accident or complaint occurring, the practice documented, investigated and learnt from it. Clinical and non clinical events were recorded on the same system and not distinguished as different events. At the time of inspection not all safety alerts were received by the practice. They registered immediately to ensure they were in receipt and could action all alerts where releveant.

Infection prevention and control procedures were in place and staff had received training in infection control. Radiation equipment was suitably sited and used by trained staff. Local rules were displayed where X-rays were carried out. Emergency medicines in use at the practice were stored safely and checked to ensure they did not go beyond their expiry dates. Sufficient quantities of equipment were available at the practice and were serviced and maintained at regular intervals.

There were sufficient numbers of suitably qualified staff working at the practice.  Staff had received safeguarding training and were aware of their responsibilities regarding safeguarding children and vulnerable adults.

Effective

No action required

Updated 24 December 2015

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

Patients received an assessment of their dental needs including recording and assessing their medical history. Explanations were given to patients in a way they understood and risks, benefits, options and costs were fully explained. The practice kept detailed dental records of oral health assessments; treatment carried out and monitored any changes in the patients’ oral health. The practice placed an emphasis on the promotion of good health and provided regular oral health advice and guidance to patients.

National Institute for Health and Care Excellence (NICE), national best practice and clinical guidelines were considered in the delivery of dental care and treatment for patients. The treatment provided for the patients was effective, evidence based and focussed on the needs of the individual. Patients were referred to other services in a timely manner. The

staff received professional training and development appropriate to their roles and learning needs. Staff were registered with the General Dental Council (GDC) and were meeting the requirements of their professional registration

Caring

No action required

Updated 24 December 2015

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

Patients were treated with dignity and respect and their privacy maintained. Patients spoke highly of the care and treatment given. We found that treatment was clearly explained and patients were provided with information regarding their treatment and oral health. Patients who were nervous or anxious about attending the dentist were cared for with compassion that helped them feel more at ease.

Responsive

No action required

Updated 24 December 2015

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

The service practice was aware of the needs of the local population and took those these into account in how the practice as run. Patients had good access to appointments at the practice and emergency/urgent appointments were usually available on the same day. There were good dental facilities in the practice and there was sufficient well maintained equipment to meet patients’ needs. Appointment times were convenient and met the needs of patients and they were seen promptly. The practice was accessible and accommodated patients with a disability or lack of mobility, including providing a disabled access toilet and ground floor treatment rooms.

There was a clear complaints’ system in place.

Well-led

No action required

Updated 24 December 2015

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

There was an effective leadership structure evident and staff felt supported by the principal dentist, manager and other staff. Staff were supported to maintain their professional development and skills. Staff met regularly to review aspects of the delivery of dental care and the management of the practice. Patients and staff were able to feedback compliments and concerns regarding the service.

The practice had clinical governance and risk management structures in place. Clinical audits took place. Health and safety risks had been identified and risk assessments were in place and reviewed.