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Inspection Summary


Overall summary & rating

Updated 25 July 2017

We carried out this unannounced inspection on 29 June 2017 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 Care Quality Commission (CQC) inspector who was supported by a specialist dental adviser.

We told the NHS England area team that we were inspecting the practice. They provided information which we took into account. They did not provide any information.

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

Peckham Dental Care Limited is in Peckham, in the London Borough of Southwark. It provides NHS and private treatment to patients of all ages.

There is level access for people who use wheelchairs and those with pushchairs. Restricted car parking spaces, including those for patients with disabled badges, are available near the practice.

The dental team includes a practice manager, five dentists, five dental nurses, a dental hygienist, and a receptionist. 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 CQC 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 the practice was the practice manager.

On the day of inspection we spoke with two patients. This information gave us a mixed view of the practice.

During the inspection we spoke with three dentists, three dental nurses, and the practice manager. We also spoke with two of the company’s compliance managers who attended the inspection. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open from 9am to 4pm Monday to Friday.

Our key findings were:

  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risk.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • The appointment system met patients’ needs.
  • The practice had effective leadership. Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice dealt with complaints positively and efficiently.
  • The practice was clean, though improvements were needed to ensure areas of the premises were well maintained.
  • The practice had infection control procedures which mostly reflected published guidance. Improvements were needed to ensure that staff carried out regular efficacy tests for the ultrasonic bath.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information at the reception desk and in the treatment rooms. Improvements were needed to ensure paper dental care records were stored securely.

Shortly after the inspection the practice took steps to address issues we had identified.

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

  • Review the practice's protocols for completion of dental care records taking into account guidance provided by the Faculty of General Dental Practice regarding clinical examinations and record keeping.
  • Review the suitability of the premises and ensure all parts are well-maintained and fit for the purpose for which they are being used.
Inspection areas

Safe

No action required

Updated 25 July 2017

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

The practice had systems and processes to provide safe care and treatment. They used learning from incidents and complaints to help them improve.

Staff received training in safeguarding and knew how to recognise the signs of abuse and how to report concerns.

Staff were qualified for their roles and the practice completed essential recruitment checks.

Premises and equipment were clean, though improvements were needed to ensure the premises were properly maintained. Patients commented they felt the décor of the premises needed to be updated.

The practice followed national guidance for cleaning, sterilising and storing dental instruments, though improvements were needed to ensure there was hot running water available, and that staff were carrying out regular efficacy tests for the ultrasonic bath.

The practice had suitable arrangements for dealing with medical and other emergencies.

Shortly after the inspection the practice took steps to address the issues we identified. They informed us they would voluntarily close for a short period of time in order to make some necessary improvements

Effective

No action required

Updated 25 July 2017

We found that this practice was providing effective care in accordance with

the relevant regulations.

The dentists assessed patients’ needs and provided care and treatment in line with recognised guidance. The dentists discussed treatment with patients so they could give informed consent and recorded this in their records.

The majority of the practice team kept complete patient dental care records which were, clearly written or typed. Improvements were needed to the quality of the content of some records.

The practice had clear arrangements when patients needed to be referred to other dental or health care professionals.

The practice supported staff to complete training relevant to their roles and had systems to help them monitor this.

Caring

No action required

Updated 25 July 2017

We found that this practice was providing caring services in accordance with

the relevant regulations.

We received feedback about the practice from two people. Patients were positive about most aspects of the service the practice provided. They told us staff were caring and professional and treated them with dignity and respect.

Electronic dental care records were securely maintained, though improvements were needed to ensure paper records were stored securely.

We saw that staff protected patients’ privacy and were aware of the importance of confidentiality.

Shortly after the inspection the practice took steps to address issues we identified.

Responsive

No action required

Updated 25 July 2017

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

The practice’s appointment system was efficient and met patients’ needs. Patients could get an appointment quickly if they were in pain.

Staff considered patients’ different needs. This included providing facilities for disabled patients and families with children. The practice had access to telephone interpreter services and had arrangements to help patients with hearing loss.

The practice took patients views seriously. They valued compliments from patients and responded to concerns and complaints quickly and constructively.

Well-led

No action required

Updated 25 July 2017

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

The practice had arrangements to ensure the smooth running of the service. These included systems for the practice team to discuss the quality and safety of the care and treatment provided. There was a clearly defined management structure and staff felt supported and appreciated.

The practice monitored clinical and non-clinical areas of their work to help them improve and learn. This included asking for and listening to the views of patients and staff.