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Archived: Rex Muller Dental Surgery

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Inspection report

Date of Inspection: 15 May 2013
Date of Publication: 6 July 2013
Inspection Report published 06 July 2013 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

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 15 May 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

Reasons for our judgement

Patients we spoke with told us that they felt the staff were well trained. Staff said that they were happy working at the practice. All the dental nurses were registered with the General Dental Council.

There was an induction process in place for new staff. One member of staff described how they had been introduced to the practice policies and procedures. They told us they had then worked alongside another dental nurse to observe the working practices. They were also trained on all the equipment. This meant that there was a well supported hand over and start to the new role. The staff member was awaiting some training, for example, safeguarding children. However, a monitored training programme was in place.

All the staff we spoke with said that they felt well trained and supported. We were told that mandatory training covered child and vulnerable adult protection, infection control and medical emergencies. We saw examples of training certificates for medical emergencies, infection control and radiation protection. Staff attended the Kent, Surrey and Sussex (KSS) Deanery training courses. In addition, one member of staff and the dentist also worked regularly for the local emergency service. The dental nurse also completed their training programmes. We looked at their continuing professional development record that showed current certificates, including equality and dignity training.

We were told that there was no formal supervision. However, this was a small practice and the dentist worked with all the dental nurses on a regular basis. The three dental nurses said that they discussed any issues together and worked together to resolve them. If they were not able to resolve something, they would take it to the dentist. They all said that they received good advice and support and that they could discuss anything important. We were given an example where a member of staff required urgent time off. They said that they had been well supported through the difficult time.

Further training needs were again discussed all together and the staff all felt able to develop further if they wished to. One member of staff had been trained in the Mental Capacity Act 2005. They and the dentist demonstrated a good understanding of the Act and their responsibilities under it.

The dentist told us that his continuing professional development was up-to-date and described the six core topics he would be attending later in the week. The dentist also attended conferences and subscribed to relevant professional journals. We were told that there were a network of colleagues who meet regularly to discuss difficult cases and provide peer support and learning.