Archived: Park House Dental Surgery

Updated 10 December 2015

The inspection was carried out on 8 October 2015 and was led by a CQC inspector. The team also included a second CQC inspector and a dentist specialist advisor.

The methods that were used to collect information at the inspection included interviewing staff, observations and review of documents.

During the inspection we spoke with dentist, a trainee dental nurse, the practice manager who also worked as a dental nurse and a dental therapist. We also spoke with five patients. We reviewed policies, procedures, and other records relating to the management of the service.

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.

Prior to the inspection we asked the practice to send us some information which we reviewed. This included the complaints they had received in the last 12 months, their latest statement of purpose, the details of their staff members, their qualifications and proof of registration with their professional bodies.

We also reviewed the information we held about the practice and found there were no areas of concern.

We informed NHS England area team that we were inspecting the practice; however we did not receive any information of concern from them.

Updated 10 December 2015

We carried out an announced comprehensive inspection on 8 October 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.

Background

The practice mainly provides primary care dental services to private patients. It also provides treatment on the NHS.

The practice is open: Mondays, Tuesdays, Thursdays and Fridays from 9am to 5.30pm. It is closed on Wednesdays.

There is one dentist, one dental nurse who was also the practice manager and a trainee dental nurse. Both nurses also worked in reception. A dental therapist also worked at the practice for two days a week.

The owner of the practice is the registered provider for the practice. 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 spoke with five patients on the day of the inspection many of whom had been with the practice for a number of years. All the comments were positive about the staff and the services provided. Comments included: all staff are professional, friendly and helpful.

Our key findings were:

• There was an effective complaints system.
• Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Staff had been trained to manage medical emergencies.
• Infection control procedures were in accordance with the published guidelines.
• Patient care and treatment was planned and delivered in line with evidence based guidelines 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.
• Patents could access routine treatment and urgent care when required.
• The practice was well-led and staff felt involved and supported and worked well as a team.
• The governance systems were effective.
• The practice sought feedback from staff and patients about the services they provided.

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

• Register to receive all relevant patient safety alerts and follow up on any relevant alerts.
• All policies should be reviewed and updated where appropriate.
• Develop a monitoring system to check the practice is effectively cleaned..

Set up a system to ensure the practice is regularly assessed for the risk of legionella.