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Inspection carried out on 12 June 2019

During a routine inspection

We carried out this announced inspection on 12 June 2019 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

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

Ferndown Dental Practice is in Ferndown and provides NHS and private treatment to adults and children.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including those for blue badge holders, are available near the practice.

The dental team includes three dentists, one lead dental nurse, two dental nurses, one dental hygiene therapists, one practice manager and four receptionists. The practice has three treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Ferndown Dental Practice is the senior partner. At the time of the inspection we were told that the current registered manager was leaving the company and that the practice manager at Ferndown Dental Practice had commenced the registered manager application process with the Care Quality Commission. A registered manager is legally responsible for the delivery of services for which the practice is registered

On the day of inspection, we collected 17 CQC comment cards filled in by patients and spoke with three other patients.

During the inspection we spoke with two dentists, one lead dental nurse, three dental nurses, one receptionist, one compliance manager and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Friday 8am to 5pm

Our key findings were:

  • The practice appeared clean and well maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available. Improvements could be made to the check list.
  • The practice had systems to help them manage risk to patients and staff.
  • The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff were providing preventive care and supporting patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and culture of continuous improvement.
  • Improvements could be made to Control of Substances Hazardous to Health (COSHH) Regulations 2002 file to ensure the safe storage and use of materials used.
  • Improvements could be made to the prescription recording process
  • Improvements could be made to the use of rubber dams by dentists.
  • Staff felt involved and supported and worked well as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • The provider had suitable information governance arrangements.

There were areas where the provider could make improvements. They should:

  • Review the practice's policy for the control and storage of substances hazardous to health identified by the Control of Substances Hazardous to Health Regulations 2002, to ensure risk assessments are undertaken and the products are stored securely.

  • Review the security of NHS prescription pads in the practice and ensure there are systems in place to track and monitor their use.

  • Review the practice’s protocols for the use of rubber dam for root canal treatment taking into account guidelines issued by the British Endodontic Society.

Inspection carried out on 9 January 2014

During a routine inspection

The practice had two dentists and two dental nurses who provided dental treatment. We spoke with seven people to gain their views and experience of the service and treatment received from their dentist. All people were complimentary about the service received. One commented, "I work away for long periods but they are always able to accommodate my appointment for the period I am at home." Another person said, "I am happy with the dentists they explain everything clearly."

People told us they could express their views and make informed decisions about their treatment. We looked at four individual dental treatment records. Three out of four records showed the reasons why treatment was recommended, people's agreement to treatment choices and any oral health advice given.

There were procedures in place to clean and sterilise dental equipment to minimise the risk of people getting an infection. Staff had received regular training to prevent the risk of infection. Staff were aware of their responsibilities in reducing the risk of infection within the practice.

Staff felt well supported by the provider and practice manager. One staff member said, "I am happy working here, it's a really good place to work."