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Inspection report

Date of Inspection: 7 May 2013
Date of Publication: 31 May 2013
Inspection Report published 31 May 2013 PDF | 82.97 KB

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 7 May 2013, talked with people who use the service and talked with staff. We talked with other regulators or the Department of Health.

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

Horizon Dental Clinic was a training practice. This meant that it provided “foundation training” through the Directorate of Multiprofessional Dental Education, to graduate dentists who had completed their initial degree course. Dental foundation training is necessary for all dentists who want to work in an NHS dental practice. There was one graduate dentist undertaking foundation training at the practice. The provider informed us, to achieve training practice status; the practice itself had to pass a detailed inspection. We consulted the Regional Dental Foundation Programme Advisor who confirmed this and said, “The practice has been recently modernised and has been refurbished fully. They follow current guidelines with high clinical standards and education.”

The provider told us and records showed that dental professionals were registered with the General Dental Council (GDC) and were required to keep a record of their Continuing Professional Development, known as CPD. We looked at three staff files which showed that staff had received training on medical emergencies, disinfection and decontamination, infection control, radiography and radiation protection. We saw that an external contractor had carried out a health and safety audit. We noted that one of the recommendations from this check was for all staff to undertake fire training. The practice manager informed us that this was being organised and a training DVD had been purchased.

Staff told us and records confirmed that monthly clinical meetings were carried out. The practice manager informed us that these meetings were used to keep everyone informed of best practice. We noted that the foundation dentist had carried out a clinical audit on antibiotic prescribing at the practice.

The provider was a member of the local dental committee. This was a representative body for dentists and issues affecting dentists were discussed. He told us that information from these meetings was circulated to staff at the practice, so they were kept up to date with current dental issues. We concluded that the provider had secured high standards of care by creating an environment in which clinical excellence could do well.

We saw that one to one meetings, known as appraisals were carried out every six months. Appraisals provide a formal way for staff and their line manager to talk about performance issues, raise concerns or ask for additional training. The practice manager informed us that they were in the process of organising formal supervision sessions. Supervision sessions are used amongst other methods to check staff progress and provide guidance. The provider may find is useful to note that there was no formal supervision or appraisal system for some of the dentists who worked at the practice. We concluded that staff received appropriate training for their professional development.