Background to this inspection
Updated
13 July 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The inspection was carried out on 13 June 2016 and was led by a CQC Inspector and a specialist advisor.
We informed NHS England area team and Healthwatch North Yorkshire that we were inspecting the practice; however we did not receive any information of concern from them.
The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.
During the inspection we spoke with the practice manager, a dentist, two dental nurses and the assistant practice manager. We saw policies, procedures and other records relating to the management of the service. We reviewed 48 CQC comment cards that had been completed.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
These questions therefore formed the framework for the areas we looked at during the inspection.
Updated
13 July 2016
We carried out an announced comprehensive inspection on 13 June 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
A R Brosgill – Pannal is a NHS and private dental practice which offers private dental payment plans. The practice is located in the centre of Pannal, North Yorkshire with car parking close by. The practice has two treatment rooms over two floors, a reception area, a waiting room, a decontamination room, a central office and staff facilities.
There are three dentists (the principal and two associates dentists), two dental hygiene therapists, three dental nurses (one of which is a trainee), a practice manager and an assistant practice manager.
The practice is open:
Monday – Friday 09:00 – 12:30 13:30 – 17:45.
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.
On the day of inspection we received 48 CQC comment cards providing feedback and spoke with three patients. The patients who provided feedback were very positive about the care and attention to treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to be a wonderful team who are professional, pleasant and polite. Patients commented they could access emergency care easily and they were treated with dignity and respect in a clean and tidy environment.
Our key findings were:
- 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 had been trained to manage medical emergencies.
- Patient care and treatment was planned and delivered in line with evidence based guidelines, best practice and current regulations.
- 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.
- There was a complaints system in place. Staff recorded complaints and cascaded learning to staff.
- The governance systems were effective.
- The practice sought feedback from staff and patients about the services.
There were areas where the provider could make improvements and should:
- Review the practice’s protocol for receiving, sharing and acknowledging alerts by email from the Medicines and Healthcare products Regulatory Agency (MHRA), the UK’s regulator of medicines, medical devices and blood components for transfusion, responsible for ensuring their safety, quality and effectiveness.
- Review the weekly check protocol for the medical emergency drugs and equipment to ensure all equipment is in date and the recommended type.
- Review the practice’s protocol for undertaking audits of X-rays at regular intervals to help improve the quality of service. The practice should also ensure all audits have documented learning points so the resulting improvements can be demonstrated and they follow the NPRB guidelines.