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Inspection Summary


Overall summary & rating

Updated 20 November 2017

We carried out this announced inspection on 2 October 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

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 form the framework for the areas we look at during the inspection.

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

Robinspool Dental Practice is in Winnersh and provides private treatment to patients of all ages.

There is level ramp access for people who use wheelchairs and those with pushchairs. Car parking spaces include space for disabled patients.

The dental team includes the practice manager, three dentists, five dental nurses, three dental hygienists, and two receptionists. The practice has three treatment rooms.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual and is legally responsible for making sure that the practice meets the requirements relating to safety and quality of care, as specified in the regulations associated with the Health and Social Care Act 2008.

On the day of inspection we collected 33 CQC comment cards filled in by patients and obtained the views of five other patients. This information gave us a positive view of the practice.

The practice is open Monday 8am to 6pm, Tuesday to Friday 8.30am to 5.30pm and by appointment only on Saturday.

Our key findings were:

  • The practice appeared clean and well maintained.
  • The practice had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risk.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The appointment system met patients’ needs.
  • The practice had effective leadership. Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice dealt with complaints positively and efficiently.
Inspection areas

Safe

No action required

Updated 20 November 2017

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

the relevant regulations.

The practice had systems and processes to provide safe care and treatment. They used learning from incidents and complaints to help them improve.

The practice did not have a system in place to respond to national patient safety and medicines alerts from the Medicines and Healthcare Products Regulatory Authority (MHRA). We have since been provided evidence to confirm this shortfall has been addressed.

Staff knew how to recognise the signs of abuse and how to report concerns. Records seen confirmed staff received the recommended level of safeguarding training.

Staff were qualified for their roles and the practice completed most of the essential recruitment checks. We have since been provided evidence to confirm this shortfall has been addressed.

Records seen confirmed emergency medicines were checked monthly. National guidance states these should be checked weekly. We noted the oxygen cylinder used at the practice did not meet the size recommended by national guidelines. We have since been provided evidence to confirm both of these shortfalls have been addressed.

Premises and equipment appeared clean and properly maintained. The practice followed national guidance for cleaning, sterilising and storing dental instruments.

The practice had suitable arrangements for dealing with medical emergencies.

Fire safety monitoring arrangements were not effective. We have since been provided evidence to confirm this shortfall has been addressed.

Effective

No action required

Updated 20 November 2017

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

the relevant regulations.

The dentists assessed patients’ needs and provided care and treatment in line with recognised guidance. Patients described the treatment they received as exemplary. We received feedback about the practice from 38 patients.

Patients were positive about all aspects of the service the practice provided. They told us staff were amazingly accommodating and treated them with respect. The dentists discussed treatment with patients so they could give informed consent and recorded this in their records.

The practice had clear arrangements when patients needed to be referred to other dental or health care professionals.

The practice supported staff to complete training relevant to their roles and had systems to help them monitor this.

Caring

No action required

Updated 20 November 2017

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

the relevant regulations.

We received feedback about the practice from 38 patients. Patients were positive about all aspects of the service the practice provided. They told us staff were amazingly accommodating, were friendly and treated them with respect.

They said they never felt rushed, dentists listened and explained treatment options and gave excellent advice. Patients commented that they made them feel at ease, especially when they were anxious about visiting the dentist.

We saw that staff protected patients’ privacy and were aware of the importance of confidentiality. Patients said staff treated them with dignity and respect.

Responsive

No action required

Updated 20 November 2017

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

the relevant regulations.

The practice’s appointment system was efficient and met patients’ needs. Patients could get an appointment quickly if in pain.

Staff considered patients’ different needs. This included providing facilities for disabled patients and families with children.

The practice did not have access to British sign language interpreters and braille translation to help patients with sight or hearing loss. We have since been provided evidence to confirm this shortfall has been addressed.

The practice took patients views seriously. They valued compliments from patients and responded to concerns and complaints quickly and constructively.

Well-led

No action required

Updated 20 November 2017

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

The practice had arrangements to ensure the smooth running of the service. These included systems for the practice team to discuss the quality and safety of the care and treatment provided.

There was a clearly defined management structure and staff felt supported and appreciated. We noted the practice did not have a system in place to analyse and learn from significant events, accidents and incidents. We have since been provided evidence to confirm this shortfall has been addressed.

The practice team kept complete patient dental care records which were, clearly typed and stored securely.

The practice monitored clinical and non-clinical areas of their work to help them improve and learn. This included asking for and listening to the views of patients and staff.