You are here

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Updated 16 June 2016

We carried out an announced comprehensive inspection on 8 March 2016 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

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

Wathen Road Dental Practice is located in Dorking, Surrey. The premises are situated off the High Street on Wathen Road. There is a pay and display car park close to the practice for staff and patients. There are three treatment rooms, a reception and waiting area, a decontamination room and a toilet with disabled facilities. The treatment rooms in the practice reside on one level giving access for patients using a wheelchair or parents using prams.

The practice provides private dental services to adults and children. This includes a range of dental services including routine examinations and treatment, veneers and crowns and bridges. Two visiting dentists provide oral extractions and implant services.

The practice staffing consisted of the principal dentist (who was also the manager and the owner), three general dentists, two visiting dentists, two dental hygienists, five dental nurses and two receptionists. The dental team worked various part-time hours depending on the need.

The practice opening hours are Monday from 9:00am to 7:00pm, Tuesday and Wednesday from 8:30am to 5:00pm, Thursday from 8.00am to 5.00pm, Friday 9:00am to 3:00pm and Saturday from 9.00am to 1.00pm.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. Like registered providers, they are ‘registered persons’. Registered persons 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 inspection took place over one day and was carried out by a CQC inspector and a dental specialist advisor.

Before the inspection we sent Care Quality Commission (CQC) comments cards to the practice for patients to complete to tell us about their experience of the practice. Twenty-seven people provided feedback about the service. Patients were very positive about the care they received from the practice. They were complimentary about the friendly and caring attitude of the dental staff and the dental treatment they received.

Our key findings were:

  • Patients’ needs were assessed and care was planned in line with current guidance such as from the National Institute for Health and Care Excellence (NICE).

  • There were effective systems in place to reduce and minimise the risk and spread of infection.
  • The practice had effective safeguarding processes in place and staff understood their responsibilities for safeguarding adults and children living in vulnerable circumstances.
  • Staff knew how to report incidents and keep records and the practice would use this information for shared learning.
  • Equipment, such as the air compressor, autoclave (steriliser), fire extinguishers, and X-ray equipment had all been checked for effectiveness and had been regularly serviced.

  • Patients indicated that they felt they were listened to and that they received good care from a helpful and caring practice team.
  • The practice ensured staff maintained the necessary skills and competence to support the needs of patients.
  • The practice had implemented clear procedures for managing comments, concerns or complaints.
  • The provider had a clear vision for the practice and staff told us they were well supported by the management team.
  • Governance arrangements and audits were effective in improving the quality and safety of the services.
Inspection areas

Safe

No action required

Updated 16 June 2016

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

The practice had systems in place to minimise the risks associated with providing dental services. There was a safeguarding lead and staff understood their responsibilities in terms of identifying and reporting any potential abuse. The practice had policies and protocols, which staff were following, for the management of infection control, medical emergencies and dental radiography. We found the equipment used in the practice was well maintained and checked for effectiveness. The practice had systems in place for identifying, investigating and learning from incidents relating to the safety of patients and staff members.

Effective

No action required

Updated 16 June 2016

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

The practice provided evidence-based care in accordance with relevant, published guidance, for example, from the General Dental Council (GDC). The practice monitored patients’ oral health and gave appropriate health promotion advice. Staff explained treatment options to ensure that patients could make informed decisions about any treatment. The practice worked well with other providers and followed up on the outcomes of referrals made to other providers.

Staff engaged in continuous professional development (CPD) and were meeting all of the training requirements of the General Dental Council (GDC). Staff had received appraisals within the past year to discuss their role and identify additional training needs.

Caring

No action required

Updated 16 June 2016

We found that this practice was providing caring services in accordance with the relevant regulations.

We received positive feedback from patients through CQC comment cards. Patients commented that the whole team were welcoming, professional, caring, respectful and friendly. Patients were very happy with the quality of treatment provided. Staff were mindful about a ‘patient centred’ approach to treating patients. They were aware of the importance of protecting patients’ privacy and dignity.

Responsive

No action required

Updated 16 June 2016

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

Patients were able to access treatment within a reasonable time frame and had adequate time scheduled with the dentist to assess their needs and receive treatment. The practice treated everybody equally and welcomed patients from a range of different backgrounds, cultures and religions.

The practice had a complaints procedure that explained to patients the process to follow. The practice followed the correct processes to resolve any complaints.

Well-led

No action required

Updated 16 June 2016

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

The practice had effective leadership and an open supportive culture. Governance arrangements were in place to guide the management of the practice. This included having appropriate policies and procedures.

The practice had arrangements in place for monitoring and improving the services provided for patients. Regular checks and audits were completed to ensure the practice was safe and patient’s needs were being met.

Staff described an open and transparent culture where they were comfortable raising and discussing concerns with the principal dentists. They were confident in their abilities to address any issues as they arose.