8 February 2022
During an inspection looking at part of the service
We carried out this announced inspection on 8 February 2022 under section 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 usually ask five key questions; however, due to the ongoing COVID-19 pandemic and to reduce time spent on site, only the following three questions were asked:
• Is it safe?
• Is it effective?
• Is it well-led?
These questions form the framework for the areas we look at during the inspection.
Our 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. Most medicines and life-saving equipment were available. However, there was some room for improvement.
- The provider had systems to help them manage risk to patients 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 current 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 provided preventive care and supported patients to ensure better oral health.
- The appointment system took account of patients’ needs.
- The practice had effective leadership and a culture of continuous improvement. There was scope though to improve elements of the audit processes.
- Staff felt involved and supported and worked as a team.
- The provider asked staff and patients for feedback about the services they provided.
- The provider had information governance arrangements.
Background
Practice location is in Manor Park, London in the London Borough of Newham and provides NHS and private dental care and treatment for adults and children.
Car parking spaces, including dedicated parking for people with disabilities, are available near the practice.
The dental team includes two dentists, a dental nurse and a receptionist. The practice has one treatment room.
During the inspection we spoke with two dentists, a dental nurse a receptionist. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday from 10am to 1pm.
Tuesday 9.30am to 5pm.
Wednesday 2pm to 5pm.
There were areas where the provider could make improvements. They should:
- Take action to ensure the suitability of the premises and ensure all areas are fit for the purpose for which they are being used.
- Take action to ensure the availability of equipment in the practice to manage medical emergencies taking into account the guidelines issued by the British National Formulary and the General Dental Council.
- Take action to ensure the clinicians take into account the guidance provided by the Faculty of General Dental Practice when completing dental care records.