Teynham Dental Surgery

We carried out this announced inspection on 10 March 2020 under s ection 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a Care Quality Commission, ( CQC ), inspector who was supported by a specialist dental adviser.

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 form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

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

Are services effective?

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

Are services caring?

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

Are services responsive?

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

Are services well-led?

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

Background

Teynham Dental Surgery is in Teynham, Sittingbourne and provides NHS and private dental care and treatment for adults and children .

There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking fo r disabled people , are available near the practice.

The dental team includes a dentist, two dental nurses, a dental hygienist and two receptionist s . The practice has three treatment rooms

The practice is owned by an individual who is the principal dentist there. They 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 collected 26 CQC comment cards filled in by patients and spoke with five other patients.

During the inspection we spoke with the dentist, a dental nurse, and one of the receptionist s . We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Friday 9am to 5pm (closed for lunch 1pm to 2pm)

Occasional Saturdays 9am to 1pm

Our key findings were :

• The practice appeared to be visibly clean and well - maintained.

• The provider had infection control procedures which reflected published guidance.

• Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.

• The provider had systems to help them manage risk to p atient s and staff .

• The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.

• The provider had staff recruitment procedures which reflected curr e nt legislation.

• The clinical staff provided patients’ care and treatment in line with current guidelines.

• Staff treated patients with dignity and respect and took care to protect their privacy and personal information.

• Staff provid ed preventive care and support ed patients to ensure better oral health.

• The appointment system took account of patients’ needs.

• The p rovider had effective leadership and a culture of continuous improvement.

• Staff felt involved and supported and worked as a team.

• The p rovider asked staff and patients for feedback about the services they provided.

• The provider dealt with complaints positively and efficiently.

• The provider had information governance arrangements.

There were areas where the provider could make improvements. They should:

• Take action to ensure audits of infection prevention and control are undertaken at regular intervals to improve the quality of the service. The p ractice should also ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.

• Improve and develop the practice's policies and procedures for obtaining patient consent to care and treatment to ensure they are in compliance with legislation, take into account relevant guidance, and staff follow them.