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Inspection Summary


Overall summary & rating

Updated 8 May 2017

We carried out an announced comprehensive inspection on 10 March 2017 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

Tooth Fairy limited Dental Practice provides private dental treatments to patients of all ages. The providers also operate under a separate registration with the Care Quality Commission (CQC) using the same building, facilities and staff. This report will make references to Sherwood Dental practice but this inspection only relates to the services provided by Tooth Fairy Limited.

Tooth Fairy limited has eleven dentists, including the practice owner and principal partner and a foundation dentist, a dental therapist, a dental hygienist, nine qualified dental nurses who are registered with the General Dental Council (GDC), four trainee dental nurses, five receptionists (two of whom are also registered dental nurses), a practice manager and an assistant manager. The practice’s opening hours are 8.30am to 5pm on Tuesday and Thursday and 8.30am to 6pm Monday, Wednesday and Friday. The practice is closed for one hour at lunchtime each day.

The practice has four dental treatment rooms on the ground floor and five on the first floor. Sterilisation and packing of dental instruments takes place in a separate decontamination room. There is a reception with adjoining waiting area on the ground floor and a separate waiting area on the first floor.

Before the inspection we sent Care Quality Commission comments cards to the practice for patients to complete to tell us about their experience of the practice. We received comments from 83 patients by way of these comment cards and during the inspection with spoke with four patients who gave positive feedback about the practice.

Our key findings were

  • Systems were in place for the recording and learning from significant events and accidents.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice was clean and well maintained.
  • Patients were treated with dignity and respect.
  • The practice had infection control procedures which reflected published guidance.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
  • The appointment system met the needs of patients and waiting times were kept to a minimum.
  • The practice had systems to help them manage risk.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • 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.
Inspection areas

Safe

No action required

Updated 8 May 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.

Staff received training in safeguarding and knew how to recognise the signs of abuse and how to report concerns.

Staff were qualified for their roles and the practice completed essential recruitment checks.

Premises and equipment were clean and properly maintained. Decontamination procedures were effective and staff had completed infection prevention and control training. The equipment involved in the decontamination process had received regular service and maintenance.

The practice had suitable arrangements for dealing with medical and other emergencies.

Effective

No action required

Updated 8 May 2017

We found that this practice was providing effective care in accordance with the relevant regulations.

The dental care provided was evidence based and focussed on the needs of the patients. Patients described the treatment they received as top class and said that staff were courteous, caring and efficient. The dentists discussed treatment with patients so they could give informed consent and recorded this in their records. Referrals were made to secondary care services if the treatment required was not provided by the practice.

The dentists assessed patients’ needs and provided care and treatment in line with recognised guidance.

The practice supported staff to complete training relevant to their roles and had systems to help them monitor this. Staff were registered with the General Dental Council (GDC) and were meeting the requirements of their professional registration.

Caring

No action required

Updated 8 May 2017

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

the relevant regulations.

We observed the staff to be welcoming and caring towards the patients.

Staff treated patients with kindness and respect and they were aware of the importance of confidentiality.

Patients’ p

rivacy and confidentiality was maintained on the day of the inspection.

We received feedback about the practice from 87 people. Patients were positive about all aspects of the service the practice provided. They told us staff were friendly, caring and professional. They said that they were given detailed explanations about treatment options, and said their dentist always took their time to listen to them. Patients commented that they made them feel at ease, especially when they were anxious about visiting the dentist

Responsive

No action required

Updated 8 May 2017

We found that this practice was providing responsive care in accordance with the relevant regulations.

Patients had good access to treatment and urgent care when required The practice’s appointment system was efficient and met patients’ needs.

Staff considered patients’ different needs. This included providing facilities for disabled patients and families with children. The practice had access to telephone interpreter services and had arrangements to help patients with sight or hearing loss.

The practice took patients views seriously. They valued compliments from patients and responded to concerns and complaints quickly and constructively. Staff were familiar with the complaints procedure which included information for patients about how to make a complaint.

Well-led

No action required

Updated 8 May 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.

The practice team kept complete patient dental care records which were, clearly written or 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.