Genix Healthcare Marske Ltd

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• 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 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. Staff also participated in medical emergency scenario training.

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.

Staff demonstrated an open culture in relation to people’s safety. They felt confident that risks were well managed at the practice, and on the whole, this was reflected in our findings. The practice should ensure the latex risk assessment reflects all relevant items used or stored in the practice. The risk assessment should also consider storage arrangements to reduce the risk of exposure for patients and staff with a latex allergy.

The practice had a recruitment policy and procedures that reflected relevant legislation, to help them employ suitable staff, including agency or locum 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. They told us that there were enough staff on duty at all times.

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 staff wellbeing. Staff had access to a wellbeing app funded by Genix, which included counselling and wellbeing resources. Staff also told us there was an open-door policy.

Staff felt respected, supported and valued, and described the practice as a good place to work. They told us leaders were approachable, caring and responsive, and that they felt able to raise concerns and contribute ideas. Staff described a close-knit team with strong teamwork and a focus on patient care.

Staff felt the practice supported their professional development and enabled them to take on additional responsibilities. They referred to opportunities such as apprenticeships, additional qualifications and further training. Staff also said feedback from appraisals, practice meetings and day-to-day supervision supported their learning.

The practice had infection control procedures that reflected published guidance.

Staff received appropriate training and demonstrated knowledge and awareness of infection prevention and control processes.

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 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 practice should ensure legionella monitoring arrangements are effective in managing risk. Although the team had identified water temperatures outside the recommended range, the evidence we saw did not show that actions taken had been effective in maintaining appropriate thermal control. The practice should ensure actions are clearly recorded, monitored and reviewed, and that associated risks, including scalding risks from elevated outlet temperatures, are considered and documented.

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