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Great Wyrley Dental Practice

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 23 May 2013
Date of Publication: 26 June 2013
Inspection Report published 26 June 2013 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 23 May 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and received feedback from people using comment cards. We reviewed information given to us by the provider and reviewed information sent to us by commissioners of services.

Our judgement

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

We discussed the quality assurance systems in place. We saw that there was a suggestions box in the waiting room. We were told that patient satisfaction questionnaires were given out to a random sample of patients and the results were correlated every two to three months. We looked at the surveys that had been completed for February and March 2013 and the analysis of the findings. We saw that people were generally satisfied with the dental practice but some people said that waiting times for an appointment could be an issue. We saw that an action plan had been developed and the practice was opened for an additional afternoon and there was consideration to employ an additional dentist. This meant that people's views and comments were acted upon and when needed improvements were made.

Staff told us that people rarely had to wait. However if there was a delay people were informed and could rebook if they were unable to wait.

We discussed the systems in place to audit working practices. We looked at some of the audits completed, which included infection control, checks for oral cancer and x-ray audit. These helped to ensure that staff worked in accordance with the policies of the dental practice.

We saw a certificate provided by Staffordshire County Council. This stated that a satisfactory practice inspection had been undertaken in June 2011. We were told that this was a clinical based audit.

We saw the service reports and maintenance contracts for equipment used in the decontamination processes and for x-rays. We looked at test records to demonstrate that decontamination equipment was working effectively. This helped to ensure that equipment required for daily use was in good working order.

We looked at the last legionella risk assessment which was completed in October 2012. We were told that there were no issues for action. We saw that water temperatures were being monitored but the actual temperature of the water was not being recorded. It was therefore difficult to demonstrate that temperatures were within the required temperature limits. The log sheets available in the legionella risk assessment required the actual temperature to be recorded.

Appropriate contracts were in place for the disposal of clinical and domestic waste. We looked at waste consignment notes and quarterly returns. This meant that the dental practice had systems in place for the safe removal of clinical and domestic waste.

We looked at the last self-audit of infection control standards. We were told that these were completed when requested to do so by the primary care trust. This was usually on an annual basis.

We saw that the provider had commissioned an independent fire safety risk assessment. Dr Patel forwarded us the action plan in response to this assessment. We found that the action plan satisfactorily addressed the issues identified.