Mrs. Donna George Also known as Parkview hygienist clinic

We carried out this announced inspection on 10 March 2020 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 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 form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

We found this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

We found this practice was providing effective care in accordance with the relevant regulations.

Are services caring?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found this practice was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

Background

Mrs. Donna George, also known as Parkview Hygienist Clinic, is in Brownsover, Rugby and provides private dental hygiene treatments for adults and children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice.

The dental team includes one dental nurse, one dental hygienist and one receptionist. The practice has one treatment room.

The practice is owned by an individual who is the dental hygienist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

On the day of inspection, we collected eight CQC comment cards filled in by patients and spoke with two patients.

During the inspection we spoke with the receptionist and the dental hygienist. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday from 9am to 1pm.

Tuesday from 9am to 6pm.

Wednesday closed.

Thursday from 2pm to 6pm.

Friday from 9am to 4pm.

Saturday from 9am to 2pm.

Our key 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. Appropriate medicines and some life-saving equipment were available. However, we found some items missing and one medicine had been stored outside refrigeration and the expiry date had not been adjusted to accommodate this. Missing items were ordered during the inspection and the shelf life of the medicine was adjusted.
• The provider had some systems to help them manage risk to patients and staff. We found shortfalls in appropriately assessing and mitigating risks in relation to the control of substances hazardous to health, medical emergency equipment and clinical audit. Immediate action was taken within 48 hours of our inspection to address most of these shortfalls.
• 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 provider supported learning and development within the practice. However, we found that an infection prevention and control audit and record keeping audit had not been completed.
• There was a small team of three who worked closely together and supported one another daily. Due to being such a small team no appraisals had been completed as staff told us they discussed their learning and development needs informally.
• The provider asked staff and patients for feedback about the services they provided.
• The provider dealt with complaints positively and efficiently.
• The provider had information governance arrangements.

We identified regulations the provider was not complying with. They must:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Full details of the regulation the provider was not meeting are at the end of this report.