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Inspection Summary


Overall summary & rating

Updated 26 November 2019

We carried out this

announced

inspection on

5 November

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

Purlys

Dental

Care

is a well-established

family

practice that offers

mostly

private

treatment

to approximately

8

,000 patients

.

It is based

near

Letchworth

town centre.

The dental team includes

five

d

entists,

eight

dental nurses,

two

hygienist

s

and

a

practice

manager.

There is

ramp

access

for people who use wheelchairs and those with pushchairs.

There is on street parking directly outside the practice

and in nearby public car parks

.

The practice opens Monday

s f

ro

m

8am

to 5.30

p

m;

Tuesdays, Wednesdays and Thursdays

f

ro

m

8am

to 6pm and on Fridays

from

8am

to

1

pm.

The practice is owned by a

partnership

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

is

one

of

the partners.

On the day of

inspection,

we collected

31

CQC comment cards filled in by patients and spoke with

two

other patients.

We

spoke with

three dentists

,

two

dental nurses,

and

the practice manager

. We looked at practice policies and procedures and other records about how the service is managed.

Our key findings were

:

  • Patients were positive about all aspects of the service the practice

    provided

    and

    commented

    positively

    on

    the treatment they received and of the staff who delivered it.

  • Premises and equipment were clean and properly maintained and the practice followed national guidance for cleaning, sterilising and storing dental instruments.

  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.

  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.

  • Patients’ care and treatment was provided in line with current guidelines.

  • Patients received clear explanations about their proposed

    treatment and

    were involved in making decisions about it.

  • Staff provided preventive care and supported patients to ensure better oral health.

  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.

  • There was a clear leadership structure and staff felt supported

    and valued

    . The practice proactively sought feedback from staff and patients, which it acted upon.

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

  • Review the practice’s system for recording, investigating and reviewing incidents or significant events with a view to preventing further occurrences and ensuring that improvements are made as a result.

  • Review the practice's recruitment procedures to ensure that appropriate checks are completed prior to new staff commencing employment at the practice.

  • Review the availability of an interpreter service for patients who do not speak or

    understand English

    .

Inspection areas

Safe

No action required

Updated 26 November 2019


Effective

No action required

Updated 26 November 2019


Caring

No action required

Updated 26 November 2019


Responsive

No action required

Updated 26 November 2019


Well-led

No action required

Updated 26 November 2019