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Inspection Summary


Overall summary & rating

Updated 12 August 2016

We carried out an announced comprehensive inspection on 7 July 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

Gunn Dental Care is situated in the village of Bramhope near Leeds, West Yorkshire. It offers private dental treatments to patients of all ages but also offers. The services include preventative advice and treatment, routine restorative dental care and dental implants. Conscious sedation is also provided by a consultant from the local hospital.

The practice is located within a medical centre. It has two surgeries, a decontamination room, one waiting area and a reception area. All facilities are on the ground floor. There are accessible toilet facilities on the ground floor of the premises. The practice is about to undergo refurbishment of the waiting and reception area to enhance the appearance and make it more spacious.

There are two dentists, a dental hygiene therapist, a dental hygienist, four dental nurses and a receptionist.

The opening hours are Monday from 9-00am to 5-00pm, Tuesday and Wednesday from 9-00am to 6-30pm, Thursday from 8-00am to 4-00pm and Friday from 9-00am to 4-30pm.

The principal dentist is the registered manager. 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.

During the inspection we received feedback from 44 patients. The patients were positive about the care and treatment they received at the practice. Comments included that staff were friendly, professional and caring. Patients also commented that all treatment is discussed fully and all options are given.

Our key findings were:

  • The practice appeared clean and hygienic.
  • The practice had systems in place to assess and manage risks to patients and staff including infection prevention, control and health and safety and the management of medical emergencies.
  • Staff were qualified and had received training appropriate to their roles.
  • Dental care records were detailed and showed that treatment was planned in line with current best practice guidelines.
  • Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
  • Patients were involved in making decisions about their treatment and were given clear explanations about their proposed treatment including costs, benefits and risks.
  • 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.
  • There were clearly defined leadership roles within the practice.
Inspection areas

Safe

No action required

Updated 12 August 2016

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

There was an effective system in place for reporting of incidents and accidents. These were followed up, analysed and learning was disseminated.

Staff had received training in safeguarding at the appropriate level and knew the signs of abuse and who to report them to.

Staff were suitably qualified for their roles and the practice had undertaken the relevant recruitment checks to ensure patient safety.

Patients’ medical histories were obtained before any treatment took place. The dentists were aware of any health or medication issues which could affect the planning of treatment. Staff were trained to deal with medical emergencies. All emergency equipment and medicines were in date and in accordance with the British National Formulary (BNF) and Resuscitation Council UK guidelines.

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.

Effective

No action required

Updated 12 August 2016

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

Patients’ dental care records provided comprehensive information about their current dental needs and past treatment. The practice monitored any changes to the patient’s oral health and provided treatment when appropriate.

The practice followed best practice guidelines when delivering dental care. These included Faculty of General Dental Practice (FGDP), National Institute for Health and Care Excellence (NICE) and guidance from the British Society of Periodontology (BSP). 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. The clinical staff were up to date with their continuing professional development (CPD).

Referrals were made to secondary care services if the treatment required was not provided by the practice.

Caring

No action required

Updated 12 August 2016

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

During the inspection we received feedback from 44 patients. Patients commented that staff were friendly, professional and caring. Patients also commented that all treatment is discussed fully and all options are given.

We observed the staff to be welcoming and caring towards the patients.

We observed privacy and confidentiality were maintained for patients using the service on the day of the inspection.

Staff explained that enough time was allocated in order to ensure that the treatment and care was fully explained to patients in a way which they understood.

Responsive

No action required

Updated 12 August 2016

We found that this practice was providing responsive care 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.

Patients commented they could access treatment for urgent and emergency care when required. There were clear instructions for patients requiring urgent care when the practice was closed.

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

The practice was fully accessible for patients with a disability or limited mobility to access dental treatment.

Well-led

No action required

Updated 12 August 2016

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

There was a clearly defined management structure in place and all staff felt supported and appreciated in their own particular roles. The principal dentist was responsible for the day to day running of the practice.

Effective arrangements were in place to share information with staff by means of six-weekly practice meetings which were well minuted for those staff unable to attend.

The practice regularly audited clinical and non-clinical areas as part of a system of continuous improvement and learning.

They conducted staff and patient satisfaction surveys and there was a comments box in the waiting room for patients to make suggestions to the practice.