Louise Lunness-Barnes Dental Clinic

Updated 4 September 2015

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 practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by the CQC.

• This inspection was carried out on 20 January 2015. Our inspection team was led by a CQC Lead Inspector.
• Prior to the inspection we reviewed information that we held about the provider. We also viewed information that we asked the provider to send us in advance of the inspection.
• During the inspection we spoke with the principal dentist, the practice manager, two dental nurses, the infection control technician and two of the practice receptionists.
• We observed staff interaction with patients and looked around the premises and the treatment rooms.
• We spoke with seven patients and reviewed 43 comment cards and 8 “share your experience submissions through the CQC website to obtain their views about the staff and the services provided.
• We reviewed a range of policies and procedures and other documents.
• We reviewed a sample of clinical records to assess their quality and structure.

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

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 4 September 2015

We carried out a comprehensive inspection at Louise Lunness-Barnes dental Clinic on 20 January 2015. A previous inspection carried out on 11 September 2014 had identified that the practice did not have a system to assess and monitor the quality of the services it provides or systems to assess and manage risks to the health, safety and welfare of patients and others. We checked to see what arrangements had been made to address these areas.

The practice first opened in 1990 and provides private dental treatment to adult patients and NHS treatment to children. The practice delivers general dental services and specialist treatments such as treatments for temporomandibular joint problems and associated jaw misalignment (TMD), snoring cessation and cosmetic treatments. The practice team consists of the principal dentist, who is the provider, two associate dentists and two part time dental therapists. The clinical team are supported by four dental nurses, four receptionists, an infection prevention technician and a practice manager.

The practice consists of two treatment rooms, an X-ray room with a reception and large waiting area. All patient areas are on the ground floor with access suitable for all patients. There is a ramp available which provides flat access to the building.

During our inspection we spoke with seven patients and reviewed 43 comments cards, which patients had completed in the two weeks before our visit. The practice had been pro-active in informing patients of our pending visit by email and social media. Patients contacted were given a link in the email to the CQC website and a “share your experience form” so that patients that were not currently under a course of treatment could have their say and tell us of their experience of being patients at the practice should they wish. We received 8 responses from patients through our website. All patients commented positively about the care and treatment they had received and the friendly, efficient and professional staff. A number of patients commented on the sympathetic, understanding dentists who had helped them overcome their fears and allow them to receive their treatment in a relaxed state.

Our key findings were:

• The practice provided a clean well equipped environment
• Staff had been recruited safely and all relevant checks had been made prior to them starting work
• All staff were kind and caring in the way they dealt with patients
• There was a regular schedule of staff meetings which included staff training.
• Patients were able to make routine and emergency appointments when needed. There were clear instructions for patients regarding out of hours care.
• There was clear leadership of the practice and staff told us they felt well supported and comfortable to raise concerns or make suggestions.