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Archived: Market Place Dentistry

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Inspection Summary


Overall summary & rating

Updated 14 November 2016

We carried out an announced comprehensive inspection on 6 October 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

This practice provides both NHS (25%) and private (75%) treatment to patients of all ages.

The dental practice is situated on the first floor of a building in the centre of Thirsk, North Yorkshire. Due to the surgery being based on the first floor it is unable to accommodate patients with restrictive mobility. There are alternative dentists in the Thirsk and the Northallerton area who accommodate disabled access.

The practice hasthree treatment rooms, office, waiting/ reception area, a decontamination room and toilet facilities. There is public parking available in the centre of Thirsk.

The practice has a principal dentist and two associate dentists,a dental hygienist, practice manager, five dental nurses and two reception staff.

The practice is open Monday-Friday 9am -5pm, with late night opening on Monday until 7pm and first Saturday in the month from 9-12pm.

The principal dentist is the registered manager with the Care Quality Commission (CQC). A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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.

Before the inspection we sent CQC comment cards to the practice for patients to complete to tell us about their experience of the practice. We received feedback from seven patients who all gave positive comments about the care and treatment received at the practice. They told us they could access appointments and emergency care easily and that staff were caring and sensitive to their needs.

Our key findings were:

  • The premises were visibly clean and free from clutter.
  • An infection prevention and control policy was in place and sterilisation procedures followed recommended guidance.

  • Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it. They had very good systems in place to work closely and share information with the local safeguarding team.
  • There were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Staff were qualified and had received training appropriate to their roles.
  • Treatment was provided in line with current best practice guidelines including the Faculty of General Dental Practice (FGDP) and National Institute for Health and Care Excellence (NICE).
  • Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
  • The practice had systems to assess and manage risks to patients, including infection prevention and control and health and safety.
  • Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
  • We observed that patients were treated with kindness and respect by staff. Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood.
  • Patients were able to make routine and emergency appointments when needed.
  • The practice had a complaints system in place and there was an openness and transparency in how these were dealt with.
  • There were clearly defined leadership roles within the practice and staff told us that they felt supported, appreciated and comfortable to raise concerns or make suggestions.
Inspection areas

Safe

No action required

Updated 14 November 2016

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

The practice had effective systems in place to assess and manage risks to patients. These included maintaining the required standards of infection prevention and control.

Staff completed annual training in how to deal with medical emergencies.

Emergency equipment and medicines were in place and regularly audited.

There were systems in place for identifying, investigating and learning from incidents relating to the safety of patients and staff members.

The decontamination procedures were effective and the equipment involved in the decontamination process was regularly serviced, validated and checked to ensure it was safe to use.

There were maintenance contracts in place to ensure all equipment had been serviced regularly, including; the washer disinfector, autoclaves, fire extinguishers, the air compressor and medical emergency oxygen.

Staff were appropriately recruited and suitably trained and skilled to meet patients’ needs and there were sufficient numbers of staff available at all times. Staff induction processes were in place and had been completed.

There was evidence to demonstrate that staff had attended training in safeguarding patients and understood their responsibilities in relation to identifying and reporting any potential abuse.

Effective

No action required

Updated 14 November 2016

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

The practice followed guidance issued by the Faculty of General Dental Practice (FGDP); for example, regarding taking X-rays at appropriate intervals. Patients’ dental care records included information about their current dental needs and past treatment. The practice monitored any changes to the patient’s oral health and made referrals for specialist treatment promptly.

The practice focused strongly on prevention and the dentists were aware of the ‘Delivering Better Oral Health’ toolkit (DBOH) with regards to fluoride application and oral hygiene advice.

Staff were encouraged to complete training relevant to their roles and this was monitored by the registered provider. The clinical staff were up to date with their continuing professional development (CPD).

Caring

No action required

Updated 14 November 2016

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

We received feedback from seven CQC comment cards about the care and treatment they received at the practice. Patients were positive about the care they received. They commented they were treated with respect and dignity and that staff had made them feel at ease.

We observed privacy and confidentiality were maintained for patients in reception and over the telephone. Policies and procedures in relation to data protection and security and confidentiality were in place and staff were aware of these.

Responsive

No action required

Updated 14 November 2016

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

The practice had an efficient appointment system in place to respond to patients’ needs. There were vacant appointments slots for urgent or emergency appointments each day.

There was a procedure in place for responding to patients’ complaints. This involved acknowledging, investigating and responding to individual complaints or concerns.

Well-led

No action required

Updated 14 November 2016

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

There were a range of policies and procedures in use at the practice which were easily accessible to staff.

Environmental risks were assessed and well managed.

Staff felt well supported and found the dentists and practice manager approachable,

Practice meetings were held six weekly and minutes were recorded.

Appraisals were in place for all staff.

The practice had systems in place to monitor area such as; infection prevention and control, safeguarding and complaints.

The practice had a system to monitor and continually improve the quality of the service through a programme of clinical and non-clinical audits.