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Inspection Summary


Overall summary & rating

Updated 1 February 2017

We carried out an announced comprehensive inspection on 22 November 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

Purley Dental Care is a mixed dental practice providing mainly NHS treatment. The practice is situated in a converted residential property. The practice had four dental treatment rooms two separate decontamination rooms for cleaning, sterilising and packing dental instruments, two patient waiting rooms, a staff room and administration office.

The practice is open 8.30am – 8.30pm Monday and Thursday; 8.30am to 5.30pm Tuesday, Wednesday and Fridays. The practice has four dentists working over the course of a week who are supported by three dental nurses, two dental hygienists and three receptionists.

The principal dentist 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.

Before the inspection we sent Care Quality Commission comment cards to the practice for patients to complete to tell us about their experience of the practice. We received feedback from 15 patients. These provided a completely positive view of the services the practice provides. Patients commented on the high quality of care, the caring nature of all staff, the cleanliness of the practice and the overall high quality of customer care.

Our key findings were:

  • We found that the practice ethos was to provide patient centred dental care in a relaxed and friendly environment.
  • Strong and effective leadership was provided by the practice owner.
  • Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment was readily available in accordance with current guidelines.
  • The practice appeared clean and well maintained.
  • Infection control procedures were robust and the practice followed published guidance.
  • The practice had a safeguarding lead with effective processes in place for safeguarding adults and children living in vulnerable circumstances.
  • The practice had a system in place for reporting incidents which the practice used for shared learning.
  • Dentists provided dental care in accordance with current professional and National Institute for Care Excellence (NICE) guidelines.
  • The service was aware of the needs of the local population and took these into account in how the practice was run.
  • Patients could access treatment and urgent and emergency care when required.
  • Staff recruitment files were organised and complete.
  • Staff had received training appropriate to their roles and were supported in their continued professional development (CPD) by the practice owners and practice manager.
  • Staff we spoke with felt well supported by the practice owner and practice manager and were committed to providing a quality service to their patients.
  • Information from completed Care Quality Commission (CQC) comment cards gave us a positive picture of a friendly, caring, professional and high quality service.

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

Review the practice’s sharps procedures giving due regard to the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.

Inspection areas

Safe

No action required

Updated 1 February 2017

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

The practice had robust arrangements for essential areas such as infection control, clinical waste control, management of medical emergencies at the practice and dental radiography (X-rays).  We found that all the equipment used in the dental practice was well maintained, although servicing of X-ray equipment was overdue.  There were sufficient numbers of suitably qualified staff working at the practice.  Staff had received safeguarding training and were aware of their responsibilities regarding safeguarding children and vulnerable adults. Effective infection control procedures were in place however staff needed updating on the 2013 Sharps regulations.

Effective

No action required

Updated 1 February 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. The practice used current national professional guidance including that from the National Institute for Health and Care Excellence (NICE) to guide their practice. We saw examples of positive teamwork within the practice and evidence of good communication with other dental professionals. The staff received professional training and development appropriate to their roles and learning needs. Staff were registered with the General Dental Council (GDC) and were meeting the requirements of their professional registration.

Caring

No action required

Updated 1 February 2017

We found that this practice was providing caring services in accordance with the relevant regulations.

We received 15 completed Care Quality Commission patient comment cards. These provided a positive view of the service the practice provided. All of the patients commented that the quality of care was very good. Patients commented on friendliness and helpfulness of the staff and dentists were good at explaining the treatment that was proposed. Patients also said they were treated with dignity and respect.

We observed that patients were treated with dignity and respect by reception staff, surgery doors were closed during consultations and conversations could not be overheard.

Responsive

No action required

Updated 1 February 2017

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

The service was aware of the needs of the local population and took those these into account in how the practice was run. Patients could access treatment and urgent and emergency care when required. The practice provided patients with written information in language they could understand and had access to staff who could speak a variety of languages.

The practice had a ground floor treatment room and level access into the building for patients with mobility difficulties and families with prams and pushchairs. Information relating to making a complaint was available to patients and complaints were handled in line with the organisations procedure.

Well-led

No action required

Updated 1 February 2017

We found that this practice was providing well-led care in accordance with the relevant regulations.

Strong and effective leadership was provided by the principal dentist. The principal dentist who was also the practice owner had an open approach to their work and shared a commitment to continually improving the service they provided. There was a no blame culture in the practice. The practice had robust clinical governance and risk management structures in place.

Staff told us that they felt well supported and could raise any concerns with the practice owner. All the staff we met said that they were happy in their work and the practice was a good place to work. Feedback was obtained from patients and the practice was developed based on their feedback.