Background to this inspection
Updated
25 May 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 practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We carried out an announced, comprehensive inspection on 21 April 2016. The inspection team consisted of a Care Quality Commission (CQC) inspector and a dental specialist advisor.
Before the inspection we asked the for information to be sent, this included the complaints the practice had received in the last 12 months; their latest statement of purpose; the details of the staff members, their qualifications and proof of registration with their professional bodies. We spoke with eight members of staff during the inspection.
We also reviewed the information we held about the practice and found there were no areas of concern.
We reviewed policies, procedures and other documents. We received feedback from 49 patients about the dental service.
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
25 May 2016
We carried out an announced comprehensive inspection on 21 April 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
Mydentist, Ratcliffe Gate, Mansfield is situated over two floors of premises close to the centre of Mansfield. The practice was first registered with the Care Quality Commission (CQC) in May 2011. The practice provides regulated dental services to patients from the Mansfield area. The practice provides mostly NHS dental treatment (90%). Services provided include general dentistry, dental hygiene, crowns and bridges, and root canal treatment.
The practice’s opening hours are: Monday: 8:30 am to 5:30 pm; Tuesday 8:30 am to 8 pm; Wednesday: 8:30 am to 5:30 pm; Thursday: 9:30 am to 8 pm; Friday 8:30 am to 5 pm and Saturday: 9 am to 12:30 pm.
Access for urgent treatment outside of opening hours is by telephoning the practice and following the instructions on the answerphone message. Alternatively patients could ring the 111 telephone number for access to the NHS emergency dental service.
The practice manager is registered with the Care Quality Commission (CQC) as an individual. 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.
The practice has three dentists; one dental therapist; three dental nurses; two trainee dental nurses, a practice manager and one receptionist. Dental nurses also worked on the reception desk. At the time of the inspection there were only two dentists in post, and a third was being recruited.
We received positive feedback from 49 patients about the services provided. This was through CQC comment cards left at the practice prior to the inspection and by speaking with patients in the practice.
Our key findings were:
- Feedback from patients was mostly positive. Patients said they were treated with dignity and respect.
- Dentists identified the treatment options, and discussed these with patients.
- Patients’ confidentiality was maintained.
- There were systems in place to record accidents, significant events and complaints, and where learning points were identified these were shared with staff.
- The records showed that apologies had been given for any concerns or upset that patients had experienced at the practice.
- There was a whistleblowing policy accessible to all staff, who were aware of procedures to follow if they had any concerns.
- Records showed there were sufficient numbers of suitably qualified staff to meet the needs of patients.
- The practice had the necessary equipment for staff to deal with medical emergencies, and staff had been trained how to use that equipment. This included oxygen and emergency medicines.
- The practice followed the relevant guidance from the Department of Health's: ‘Health Technical Memorandum 01-05 (HTM 01-05) for infection control.
- Patient recall intervals were in line with National Institute for Health and Care Excellence (NICE) guidance.