Background to this inspection
Updated
10 September 2015
We carried out an announced, comprehensive inspection on 29 July 2015. The inspection took place over one day. The inspection was led by a CQC inspector. They were accompanied by a dentist specialist advisor.
We reviewed information received from the provider prior to the inspection. We also informed the NHS England area team and the Healthwatch that we were inspecting the practice; however we did not receive any information of concern from them.
During our inspection visit, we reviewed policy documents and dental care records. We spoke with seven members of staff, including the management team. We conducted a tour of the practice and looked at the storage arrangements for emergency medicines and equipment. We observed dental nurses carrying out decontamination procedures of dental instruments and also observed staff interacting with patients in the waiting area.
36 people provided feedback about the service. The feedback we received was very positive about the care patients received from the practice. They were complimentary about the friendly and caring attitude of the staff.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
- Is it safe?
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
These questions therefore formed the framework for the areas we looked at during the inspection.
Updated
10 September 2015
We carried out an announced comprehensive inspection on 29 July 2015 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.
The Park Dental Clinic is located in the London Borough of Richmond. The premises consist of three treatment rooms and one dedicated decontamination room. There are also toilet facilities, a waiting room, a reception area, an administrative office and a staff room.
The practice provides NHS and private dental services and treats both adults and children. The practice offers a range of dental services including routine examinations and treatment, veneers, crowns and bridges and oral hygiene.
The staff structure of the practice is comprised of two principal dentists (who are also the owners), three associate dentists, five dental nurses, two hygienists, a practice manager and a receptionist.
The practice was open Monday and Tuesday 8:00am to 5:30pm, Wednesday from 8.00am to 5.00pm, Thursday from 8.00am to 6.00pm and Friday from 8.00am to 5.30pm. The practice operates a Saturday service only by appointment.
The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission (CQC) 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.
We carried out an announced, comprehensive inspection on 29 July 2015. The inspection took place over one day and was carried out by a CQC inspector and a dentist specialist advisor.
36 people provided feedback about the service. The feedback we received was very positive about the care patients received from the practice. They were complimentary about the friendly and caring attitude of the staff.
Our key findings were:
- The practice recorded and analysed significant events and complaints and cascaded learning to staff.
- Where mistakes had been made there was a policy that patients were notified about the outcome of any investigation and given a suitable apology.
- Staff had received safeguarding and whistleblowing training and knew the processes to follow to raise any concerns.
- Staff had been trained to handle emergencies; appropriate medicines and life-saving equipment were readily available.
- Infection control procedures were robust and the practice followed published guidance on the majority of occasions, however, there were minor areas for improvement.
- Patient care and treatment was planned and delivered in line with evidence based guidelines, best practice and current legislation.
- Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
- Patients were treated with dignity and respect and confidentiality was maintained.
- The appointment system met the needs of patients and waiting times were kept to a minimum.
- There was an effective complaints system and the practice was open and transparent with apologies given if a mistake had been made.
- The practice sought feedback from staff and patients about the services they provided.