The Care Quality Commission
  • Dentist
  • Dentist

The Limes Dental Practice

Shire Hall, The Sands, Appleby, Cumbria, CA16 6XN

Provided and run by:
Mr Salim Ismail

Important: This service was previously registered at a different address - see old profile

All Inspections

11 October 2021

During an inspection looking at part of the service

We carried out this announced focussed inspection on 11 October 2021 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.

To get to the heart of patients’ experiences of care and treatment, we asked the following three questions:

• Is it safe?

• Is it effective?

• 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 this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

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

Are services well-led?

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

Background

The Limes Dental Practice is in Appleby and provides private and NHS dental treatment for adults and children.

The service is located on the ground floor and accessible for people who use wheelchairs and those with pushchairs. Car parking is available outside the practice and local transport links are nearby.

The dental team includes four dentists, one dental hygienist, five dental nurses, three receptionists and one practice manager. The practice has three treatment rooms.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

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

The practice is open:

Monday 9am -6pm

Tuesday to Thursday from 9am to 5pm

Friday 9am-2:30pm

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The provider had infection control procedures which reflected published guidance. Improvements could be made to the testing of decontamination equipment by following the manufactures instructions.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had systems in place to help them manage risk to patients and staff. Improvements could be made to the fire risk assessment and the fire detection system checks.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures which reflected current legislation.
  • treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The provider had effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider had information governance arrangements.

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

  • Take action to review the practice's fire safety risk assessment and ensure ongoing fire safety management is effective.
  • Improve the practice's systems for checking and monitoring decontamination equipment taking into account manufacturer’s instructions in completing the required validation test for the ultrasonic bath.
  • Improve the monitoring of NHS prescription pads in the practice and ensure there are systems in place to track their use.

14 January 2014

During a routine inspection

We looked at how people understood the care and treatment and support choices available to them and how their views regarding treatment were sought. The practice had an information leaflet which was sent to people when they first joined the practice and was available in the reception area. This leaflet outlined what people should expect on their first visit to the surgery and who the dental team were. The practice sought the views of people in a survey. Respondents in the patient survey confirmed that staff, 'Fully explained what will happen during the appointment.'

During the inspection we saw and heard polite and courteous staff who spoke to people in a very pleasant and welcoming manner. The dentist confirmed to us that they checked changes to medical histories at the beginning of each treatment session. Any changes were recorded on the treatment records. The practice had appropriate equipment to support people in the event of a medical emergency.

We saw that staff had received annual training in life support and medical emergencies. In the patient satisfaction survey one person wrote, 'Always provides an excellent service, cannot fault it at all.' All respondents confirmed that they received the quality treatment they expected. We found that the practice was staffed by sufficient numbers of appropriately trained staff.

We found that the practice had plans to introduce a formal audit system in place which enabled them to regularly assess and monitor the quality of service that people received. People were asked for their views about their care and treatment on an on-going informal basis. If people had any concerns or complaints we were told that this was acted upon immediately. The practice manager confirmed they had received no complaints in the last 12 months.