Cranleigh Practice Limited

Updated 12 September 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

The inspection was carried out on 26 April 2016 by a CQC inspector who was supported by a specialist dental adviser. 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, and the details of their staff members including proof of registration with their professional bodies.

We informed NHS England area team that we were inspecting the practice and they asked us to look at infection control at the practice. We also told local Healthwatch on 15 February 2016 that we were inspecting the practice; however, we did not receive any information of concern from them.

During the inspection, we spoke with the principal dentist, dental nurses/practice manager and reviewed policies, procedures and other documents. We also obtained the views of seven patients following the day of our visit. We reviewed five comment cards that we had left prior to the inspection, for patients to comment about the services provided at the practice.

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 12 September 2016

We carried out an announced comprehensive inspection on 26 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

Cranleigh Dental Practice has three dentists, a dental hygienist, five dental nurses and a receptionist and practice manager. Four of the dental nurses are qualified and registered with the General Dental Council (GDC) and one is a student nurse. The practice opens at 9am from Monday to Thursday and closes at 6pm. On Fridays the practice is open 9am to 1pm.

Cranleigh Dental Practice provides both NHS and private treatment for adults and children. The practice is situated in a converted residential property. There are three dental treatment rooms; and a separate decontamination room for cleaning, sterilising and packing dental instruments. There is also a reception and waiting area.

The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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.

Before the inspection we sent Care Quality Commission comment cards to the practice for patients to complete to tell us about their experience of the practice, we also spoke with patients following the inspection. We received feedback from seven patients who provided an overall positive view of the services the practice provides. Three patients commented that there could occasionally be a wait to see the dentist after their appointment time but also praised the practice. All of the patients commented that the quality of care was good.

Our key findings were:

• The practice had mechanisms in place to record significant events and accidents.
• The practice had effective safeguarding processes and staff understood their responsibilities for safeguarding adults and children
• The practice had enough staff to deliver the service.
• Infection prevention and control systems were in place and audits were completed on a six monthly basis
• Patients were treated with dignity and respect and confidentiality was maintained.
• The practice kept up to date with current guidelines when considering the care and treatment needs of patient’s
• Health promotion advice was given to patients appropriate to their individual needs such as smoking cessation or dietary advice.
• Patients felt involved in all treatment decisions and were given sufficient information, including details of costs to enable them to make an informed choice.
• The appointment system met the needs of patients and waiting times were kept to a minimum
• Feedback from seven patients gave us a completely positive picture of a friendly, caring and professional service.
• The practice had implemented clear procedures for managing comments, concerns or complaints.