Arshad Rafiq- Longridge

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We found this practice was providing safe care in line with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

The practice identified and managed risks effectively and staff described the processes. This included sharps safety, sepsis awareness and lone working.

Staff demonstrated an open culture in relation to people’s safety. They felt confident that risks were well managed at the practice, and this was reflected in our findings.

Staff could access emergency equipment and medicines that were checked in line with national guidance. They knew how to respond to a medical emergency and had completed training in emergency resuscitation and basic life support every year.

The premises were visibly clean, well maintained and free from clutter. Hazardous substances were clearly labelled and stored safely.

We saw satisfactory records of servicing and validation of equipment in line with manufacturer’s instructions.

The practice had arrangements to ensure the safety of the X-ray equipment, and the required radiation protection information was available.

The practice managed fire safety well, and fire exits were clear and well signposted.

The practice had systems for appropriate and safe management of medicines. NHS prescription pads were kept securely, and a log was in place to monitor and track their use.

The practice had a recruitment policy and procedures that reflected relevant legislation, to help them employ suitable staff, including agency or locum staff. Improvements should be made to the systems to ensure evidence of conduct in previous employment was available and accessible for all staff.

The practice ensured clinical staff were qualified, registered with the General Dental Council and had appropriate professional indemnity cover.

Newly appointed staff had an appropriate role specific structured induction.

Staff had the skills, knowledge and experience to carry out their roles. The team told us that there were sufficient staff to manage the practice. However, they acknowledged ongoing challenges with staffing levels and a reliance on agency staff. The leadership team is aware of these issues and is actively working to implement a permanent solution.

They demonstrated a clear understanding of safeguarding and knew how to access relevant information. Staff were also aware of their responsibilities in protecting vulnerable adults and children.

The practice ensured staff training, including continuing professional development, was up-to-date and reviewed at the required intervals.

There were effective processes to support and develop staff with additional roles and responsibilities. Staff discussed their learning needs, general wellbeing and aims for future professional development during annual appraisals, during clinical discussions, practice team meetings and ongoing informal discussions.

Overall, staff told us they felt comfortable raising concerns with colleagues and described the practice as a supportive and collaborative place to work. They enjoyed being part of the team and felt it was a positive and welcoming environment.

The practice had infection control procedures that reflected published guidance. However, we noted that some improvements should be made in the decontamination room to fully meet these standards. For example, the room was easily accessible to unauthorised persons, and the limited space had contributed to some wear and tear, particularly damage to cabinetry caused by steam from the autoclave. In addition, the effectiveness of the current ventilation arrangements should be reviewed. The practice manager informed us that plans were already being considered to address these issues.

Staff received appropriate training and demonstrated knowledge and awareness of infection prevention and control processes. We discussed staff may benefit from refresher training to ensure they consistently adhered to the practice protocols.

Staff used personal protective equipment and decontaminated dental instruments after use, in line with national guidance. We saw, and staff confirmed that single-use items were not reprocessed.

The practice had effective procedures to reduce the risk of Legionella, or other bacteria, developing in water systems, in line with a risk assessment and current guidance.

The practice had protocols to ensure effective cleaning and safe segregation and disposal of hazardous waste.

Equipment was maintained and serviced in line with manufacturers’ instructions.

The practice completed infection prevention and control audits in line with current guidance.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.