You are here

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 3 July 2013
Date of Publication: 31 July 2013
Inspection Report published 31 July 2013 PDF | 88.03 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 3 July 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people received.

Reasons for our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people received.

Patients had been asked for their views about the treatment provided so their suggestions could be acted on. Records showed that patients had completed patient satisfaction questionnaires recently. The result of the survey/questionnaire was in the quality assurance folder. It showed that the patients were happy with the service provided by Southcot dental surgery. This meant that people were given regular opportunities to comment on the practice and expressed high levels of satisfaction with it.

The practice had a number of systems in place to make sure that the service assessed and monitored its delivery of care. This included audits of patient's records, oral health outcomes and clinical governance systems like infection control, radiography, autoclave daily test, compressor and dental training. We saw records of practice incident log where incidents were reported to the practice manager and required action taken.

We looked at a number of policies and procedures such as infection control, which was last reviewed in 2013 and covered areas like blood borne viruses, decontamination, cleaning, sterilisation, hand hygiene, clinical waste, personal protective equipment and spillage, which were in place at the practice and gave guidance to staff in a number of key areas. Staff demonstrated that they were knowledgeable about aspects of this guidance.

Records evidenced that staff meetings took place on a regular basis. The minutes of these meetings showed that plans were discussed to improve the quality of care that people received. Areas discussed included result of patient’s forum, vulnerable adult, equipment, significant events, referrals, control of substances hazardous to health (COSHH) training and HTM01-05 changes. Staff said these meetings were useful and helped to increase their awareness, knowledge and understanding of a number of topics related to dentistry and inspection. This meant that the provider ensured minutes of meetings as well as results of feedback and audits were discussed to improve the quality of the services provided.

All staff said the practice was a good place to work and that the management of the practice was very supportive, which helped them to do their jobs well. Comments included, “I love it here”, “We work as a team”, “I feel great working here” and “It’s lovely, amazing here”.

There was an out of hours arrangement for patients clearly displayed at the reception and on the entrance door, which is for urgent or emergency dental treatment Monday to Friday, outside of normal hours or at weekends or bank holidays.