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Archived: The Fold Dental Surgery

The provider of this service changed - see old profile

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All reports

Inspection report

Date of Inspection: 3 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF | 79.54 KB

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 3 December 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

Our discussions with the provider and the nurses demonstrated that the views of the people about the quality of the service were important. People who use the service and their representatives were asked for their views about their care and treatment. None of the people we spoke with could think of anything to improve their care and treatment at the practice. One person did comment it would be good if the practice opened one evening.

People who used the practice were asked for their views about their care and treatment. We saw that people were asked to complete satisfaction surveys on an annual basis. We looked at a sample of the most recent surveys and they were all complimentary about all aspects of the service. Records showed that the outcomes of the satisfaction surveys were discussed at staff meetings. This meant people’s views were listened to and acted on.

We looked at the processes for dealing with complaints and incidents that occurred at the practice. Information on how to make a complaint was displayed in the waiting area. There had not been any recent complaints. We were told how any complaints would be managed and resolved to the complainant's satisfaction. People we spoke with confirmed they did not have any complaints or concerns about the treatment they had received. This meant people using the service were happy with their care and the treatment they received.

We saw that staff had access to a range of policies and procedures that were regularly updated. This ensured staff were kept up to date with the latest developments and best practice issues.

There were a range of audits in place at the practice to help identify and act on areas for improvement. These included, infection control audits, audits of X rays to ensure they were of good quality, information governance audits to ensure people’s information remained confidential and an annual audit that has to be submitted to the PCT.

We looked at maintenance and service histories for some of the equipment used in the practice. These were kept up to date and provided assurance that equipment in use was well maintained.