We carried out this announced inspection on 17 May 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.
N7 Dental Care located in Holloway Road in the London borough of Islington and provides NHS and private dental treatment to patients of all ages.
Practice staffing consists of the principal dentist, eight associate dentists, one hygienist, two dental nurses, three trainee dental nurses, two receptionists and a practice manager.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
The practice is open Monday to Fridays 9am to 5.30pm and every other Saturday 9am to 2pm
The practice facilities include five treatment rooms, one decontamination room, one waiting area, reception area, X-ray room, an office and a staff room.
On the day of inspection we collected 15 CQC comment cards filled in by patients. This information gave us a positive view of the practice. Patients told us that they were happy with the treatment and advice they had received.
During the inspection we spoke with the principal dentist, two associate dentists, one dental nurse, receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
Our key findings were:
- The practice was 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.