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Reports


Inspection carried out on 21 August 2017

During a routine inspection

We carried out this announced inspection on 21 August 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 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

Dentistry for All is based in Nelson, Lancashire and provides mainly NHS with some private treatment for adults and children.

There is off street parking available and a disabled parking bay adjacent to the practice. There is public transport accessible nearby. There is wheelchair access to the premises. Treatment rooms are accessible on the ground and first floor, with a stair lift available to access the first floor.

The dental team includes a practice manager, business manager, seven dentists (two of whom are foundation dentists), two dental therapists, one dental hygienist, ten dental nurses (two of whom are trainees), instrument auxiliary and two receptionists.

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 was the practice manager.

On the day of inspection we collected 60 CQC comment cards filled in by patients and 12 CQC web based reviews. This information gave us an overwhelmingly positive view of the practice.

During the inspection we spoke with the registered (practice) manager, three dentist, one hygienist, two dental nurses and two receptionists. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday –Wednesday 9am-5:30pm,

Thursday 8:30am-5pm and Friday 9am-5pm.

Our key findings were:

  • The practice was clean and well maintained.
  • The practice had infection control procedures which reflected published guidance.
  • 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.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • 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.

Inspection carried out on 20 February 2014

During a routine inspection

Four patients we spoke with at the practice, and the records we looked at, showed people were given sufficient information and choices about treatment options and fees. There was time to discuss these options with the dentist so they could make informed decisions and give informed consent. One patient said, "They're good at explaining things, including X rays, and I sign consent forms". Another person said, "They keep us well informed and explain everything".

Patients said they were satisfied with the services they received from all the staff at the practice. Parents felt their children were treated appropriately. Staff were described as being 'friendly' and 'polite'. People felt they had thorough check ups/ assessments from which an agreed treatment plan was discussed and developed. They were also satisfied with the appointment system, and the waiting time prior to seeing the dentist or other practitioner. People made the following comments: "The service is very customer orientated", "It's always been a good family dentist; they're good with children", "I'm extremely happy with the treatment" and "Waiting times in the practice are alright".

We found the equipment used for the decontamination of reusable instruments and the X ray equipment were maintained and serviced properly. The X ray equipment was used according to the 'radiation regulations'.

There were suitable audits (checks) to ensure all aspects of the service were properly run and to a high standard.