Clover House Dental Practice Limited

Updated 22 June 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was carried out on 24 May 2016 and was led by a CQC Inspector and a specialist advisor.

We informed the NHS England area team and Healthwatch that we were inspecting the practice; however we did not receive any information of concern from them.

The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.

During the inspection we spoke with two principal dentists, three dental nurses and two receptionists. We saw policies, procedures and other records relating to the management of the service. We reviewed 26 CQC comment cards that had been completed and spoke to four patients.

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 therefore formed the framework for the areas we looked at during the inspectio

Updated 22 June 2016

We carried out an announced comprehensive inspection on 24 May 2016 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

Clover House Dental Practice is a private dental practice which offers dental payment plans. The practice is located in the centre of Harrogate, North Yorkshire with on street car parking close by and a small car park located at the front of the building. The practice has four treatment rooms over two floors, a reception area, two waiting areas (one on each floor) a decontamination room, a laboratory casting room and staff facilities. .

There is a permanent ramp at the front entrance and the practice doors have been widened to accommodate wheelchairs. There are four dentists (two are the principal dentists and two associates), five dental hygienists, six dental nurses, a treatment co-ordinator and two receptionists.

The practice offers private dental treatments including preventative advice, routine restorative dental care, simple orthodontic treatments and same day crowns.

The practice is open:

Monday – Friday 08:45 – 13:00 & 14:00 – 18:00 and a late night on a Tuesday till 20:00.

The one of the principal dentists is the registered manager. 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.

On the day of inspection we received 26 CQC comment cards providing feedback and spoke to four patients. The patients who provided feedback were very positive about the care and attention to treatment they received at the practice. They told us they were very involved in all aspects of their care and discussions of treatment. They found the staff to have a commitment to prevention, be professional, courteous, respectful, and friendly and they were treated with dignity and respect in a clean and tidy environment.

Our key findings were:

• Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it. They had very good systems in place to work closely and share information with the local safeguarding team.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Staff had been trained to manage medical emergencies.
• Infection control procedures were in accordance with the published guidelines.
• The practice had a system in place for recording accidents and adverse incidents.
• Patient care and treatment was planned and delivered in line with evidence based guidelines, best practice and current regulations. Patients received clear explanations about their proposed treatment and were actively involved in making decisions about it. They were treated in a way that they liked by staff.
• 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 confidentiality was maintained.
• The appointment system met the needs of the patients and waiting times were kept to a minimum. Emergency slots were available each day for patients requiring urgent treatment.
• There was a complaints system in place. Staff recorded complaints and cascaded learning to staff.
• The governance systems were effective.
• The practice sought feedback from staff and patients about the services they provided and used these to help them improve.

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

• Review the practice’s protocol for undertaking audits of dental care records at regular intervals to help improve the quality of service. The practice should also ensure all audits have documented learning points so the resulting improvements can be demonstrated.