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Archived: Marlborough Medical Practice Dental Services

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Updated 26 March 2015

The inspection took place on 6 February 2015 as part of our national programme of comprehensive inspections. This practice had not previously been inspected.

Marlborough Medical Practice Dental Services provide NHS and private dental treatment to patients of all ages. The practice team consists of two dentists and a part time dental hygienist. The clinical team are supported by three dental nurses and two practice receptionists. Marlborough Medical Practice Dental Services are located in the Maurice Suite of Marlborough Medical Practice. The registered manager of the dental service is one of the GP partners who is also the registered manager of the GP practice. Another GP partner is the lead partner for the dental service.

The practice consists of two treatment rooms, a dedicated decontamination room and a reception and waiting area. All patient areas are on the ground floor with access suitable for all patients. There is flat access to the practice building.

During our inspection we spoke with five patients and reviewed 24 Care Quality Commission (CQC) comments cards, which patients had completed in the week before our visit. The majority of patients commented positively about the care and treatment they had received and the friendly, helpful staff. Some patients felt that due to recent changes in staff they had not always experienced continuity of care and had a longer than acceptable wait for a routine appointment.

Our key findings were:

  • The practice provided a clean well equipped environment
  • All staff were kind and caring in the way they dealt with patients
  • There was a regular schedule of staff meetings which gave staff the opportunity to make suggestions for improving the practice and kept staff up to date with changes to the practice.
  • All policies, procedures and protocols had been regularly reviewed and updated as necessary.
  • Patients care and treatment was assessed, planned and delivered according to their individual needs.
  • Locum dentists had been used regularly in recent months to cover for study leave. This had resulted in some disruption of the service to patients.

There were also areas where the provider could make improvements and should:

  • Ensure infection prevention and control procedures are audited every six months to assess compliance with Department of Health guidance and take action when shortfalls are identified.
  • Carry out a risk assessment in relation to the decisions of the practice to use an alternative emergency medicine to that listed in current guidance.
  • Cary out a risk assessment in relation to the availability of emergency oxygen and where it is kept.
  • Ensure that staff are aware of the processes they should use to record incidents and accidents at the practice.
Inspection areas

Safe

No action required

Updated 26 March 2015

There were systems in place to ensure the safety of staff and patients.

The infection prevention and control practices at the practice followed current Department of Health essential quality requirements. All equipment at the practice was regularly maintained, tested and monitored for safety and effectiveness.

The practice had medicines and equipment available to deal with a medical emergency should it occur; staff were trained to deal with such emergencies.

Care and treatment of patients was planned and delivered in a way that ensured their safety and welfare. Patients’ medical histories were taken and appropriate alerts were recorded on dental care records.

Effective

No action required

Updated 26 March 2015

The practice ensured that patients were given sufficient information about their proposed treatment to enable them to give informed consent. Staff demonstrated a good knowledge of the requirements of the Mental Capacity Act (2005) and how it should be used if they had reason to believe a patient lacked the capacity to consent to treatment.

Dental care records showed a systematic and structured approach to assessing and planning patient care and treatment. Patient recalls were planned according to National Institute for Health and Care Excellence (NICE) guidelines based on a checklist of risk factors, including oral health, diet, alcohol and tobacco use.Health education for patients was provided by the dentist and dental hygienist. They provided patients with advice to improve and maintain good oral health.

Caring

No action required

Updated 26 March 2015

We found the practice had a caring and sensitive approach to the needs of their patients. Patients commented positively on the friendly professional staff, describing them as caring, kind and respectful.

Patients felt they had been given appropriate information and support regarding their care or treatment. They felt the dentist explained the treatment they needed in a way they could understand. They told us they understood the risks and benefits of each option. Patients with children told us that the dentists presently working at the practice communicated well with their children and gave them time to become acclimatised to dental treatment.

Responsive

No action required

Updated 26 March 2015

The practice offered same day appointments for any patient in an emergency. The practice opened in the evening one day a week to meet the needs of patients who were unable to attend during working hours.

The practice had recently experienced difficulty with the recruitment of dentists. Consequently some patients commented on the lack of continuity and difficulty in getting routine appointments.

A number of patients commented on the way in which staff at the practice had helped them to become more relaxed about attending for treatment.

Well-led

No action required

Updated 26 March 2015

The practice was well led by one of the medical practice’s GP partners and the practice manager. One of the dentists provided clinical leadership to the dental staff and was responsible for clinical governance. The practice had audited some aspects of the service in order to monitor the quality of the service and to identify areas for improvement.

Staff were given opportunities to make suggestions for the improvement of the practice and felt comfortable doing so. There was a culture of openness and transparency. Staff at the practice were supported to complete training for the benefit of patient care and for their continuous professional development.