• Dentist
  • Dentist

Eurodental Devizes Road Swindon

9 Devizes Road, Old Town, Swindon, Wiltshire, SN1 4BH (01793) 616738

Provided and run by:
Eurodental

Important: The provider of this service changed. See new profile
Important: The provider of this service changed. See new profile

All Inspections

22 March 2018

During a routine inspection

We carried out a focused inspection of Eurodental Devizes Road Swindon on 22 March 2018.

We carried out the inspection to follow up concerns we originally identified during a comprehensive inspection at this practice on 17 March 2017 and a focussed follow up inspection on 7 November 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

At a comprehensive inspection we always ask the following five questions to get to the heart of patients’ experiences of care and treatment:

  • Is it safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive to people’s needs?
  • Is it well-led?

When one or more of the five questions is not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

At the previous comprehensive inspection we found the registered provider was providing safe, effective, caring and responsive care in accordance with relevant regulations. We judged the practice was not providing well-led care in accordance with Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Eurodental Devizes Road Swindon on our website www.cqc.org.uk.

Our findings were:

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations.

The provider had made improvements to put right the shortfalls and deal with the regulatory breach we found at our inspection on 18 September 2017.

We found this practice was providing well-led care in accordance with the relevant regulations.

The provider had made improvements to put right the shortfalls and had dealt with the regulatory breach we found at our inspection on 17 March 2017 and 7 November 2017.

7 November 2017

During a routine inspection

We carried out a focused inspection of Eurodental Devizes Road Swindon on 7 November 2017.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We carried out the inspection to follow up concerns we originally identified during a comprehensive inspection at this practice on 17 March 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

At a comprehensive inspection we always ask the following five questions to get to the heart of patients’ experiences of care and treatment:

  • Is it safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive to people’s needs?
  • Is it well-led?

When one or more of the five questions is not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

At the previous comprehensive inspection we found the registered provider was providing safe, effective, caring and responsive care in accordance with relevant regulations. We judged the practice was not providing well-led care in accordance with Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Eurodental Devizes Road Swindon on our website www.cqc.org.uk.

We also reviewed the key question of safe as we had made recommendations for the provider relating to this key question. We noted that some improvements had been made.

Our findings were:

Are services well-led?

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

The provider had made some improvements to put right the shortfalls and deal with the regulatory breaches we found at our inspection on 17 March 2017.However there were still significant areas that had not been addressed.

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

The provider had made insufficient improvements to put right the shortfalls and had not dealt fully with the regulatory breaches we found at our inspection on 17 March 2017.

We identified regulations the provider was not meeting. They must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
  • Ensure all premises and equipment used by the service provider is fit for use and properly maintained.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

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

17 March 2017

During a routine inspection

We carried out an announced comprehensive inspection on 17 March 2017 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 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

Eurodental Devizes Road Swindon is a dental practice providing mainly NHS treatment for adults and children.

The practice is based on the main road close to local public car parking.

The practice is based on two floors and has five surgeries. The ground floor consists of a waiting area with open reception, one disabled and wheelchair accessible toilet, two treatment rooms and a small but separate room for the , sterilising and packing of dental instruments. There was a separate office for the practice manager and an office behind the reception area for making confidential calls. There was a staff room / kitchen area where the OBG x-ray machine was also located. On the first floor there were a further three surgeries, a separate room for the sterilising and packing of dental instruments and a toilet.

The practice is accessible from Devizes Road and a ramp is located by the front entrance which can be put in place when requested, for people who use a wheelchair. We observed that when cars are parked at the front of the practice access to the front entrance in a wheelchair may be difficult.

The practice employs five dentists, seven dental nurses, two hygienists, two trainee dental nurses, three receptionists and a practice manager.

The practice opens: Monday to Thursday: 8.00am - 5.30pm, Friday: 8.00am - 4.30pm, Saturday: 8.00am – 1pm, Sunday: Closed.

There are arrangements in place to ensure patients receive urgent dental assistance when the practice is closed. This is provided by an out-of-hours service by calling NHS 111.

The practice manager has recently become 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 received feedback from 19 patients. In addition we spoke with three patients on the day of our inspection. Feedback from patients was positive about the quality of care, the caring nature of all staff and the overall high quality of customer care. They commented that staff put them at ease and listened to their concerns. They also reported they felt proposed treatments were fully explained them so they could make an informed decision which gave them confidence in the care provided.

Our key findings were:

  • We found that the dentists’ approach to treatment was to provide patient centred dental care in a relaxed and friendly environment.
  • Leadership was provided by the practice manager.
  • The dentists provided dental care in accordance with current professional and National Institute for Care Excellence (NICE) guidelines although we found that an audit of radiographs was overdue.
  • Premises appeared well maintained and visibly clean.
  • Infection control procedures followed published guidance although the infection control decontamination policy did not fully reflect the current equipment in use. A small number of instruments were found in drawers unpouched. We also noted that separate sinks were not allocated for manual scrubbing of instruments and hand washing in some treatment rooms.
  • Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment was readily available in accordance with current guidelines.
  • Although the dentists provided effective clinical care leading to good patient outcomes, there were shortfalls in the governance systems and processes. This included policies that were either not available, or had not been reviewed and updated to reflect current personnel, equipment or organisations.
  • There were systems in place to check all equipment had been serviced regularly, including the autoclaves and X-ray equipment.
  • Patients could access treatment and urgent and emergency care when required.
  • Information from 19 completed Care Quality Commission (CQC) comment cards and speaking to patients gave us a positive picture of a friendly, caring and professional service.
  • The practice carried out pre-employment recruitment checks but these were not always fully completed and there was no recruitment policy which clearly set out the required process and checks for all staff.
  • The staff had received training relevant to their role but the arrangements for identifying the ongoing learning and development needs of staff members and the on-going assessment and supervision of all staff employed was not well established.
  • A safeguarding policy was in place but needed to be reviewed to reflect current guidance as there was no named lead professional and the practice could not demonstrate that all staff had undertaken training in child and adult safeguarding.
  • The practice reviewed and dealt with complaints according to their practice policy.
  • The whistleblowing policy in place needed to be reviewed to reflect current guidance.
  • The practice was developing information for patients and their arrangements for patient feedback.
  • The practice made referrals as appropriate to other primary and secondary care providers such as for specialist orthodontic treatment or hospital services for further investigations or treatment as required, although we found that patients were not always provided with a copy of the referral letter.
  • The fridge temperature for products and medicines requiring fridge storage was not regularly monitored or suitably recorded.
  • The last fire safety risk assessment was carried out in 2010.
  • There was no annual statement available in relation to infection prevention and control as required under The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance.
  • The practice had not carried out an access assessment under the Equality Act 2010 but this was planned.

We identified regulations that were not being met and the provider MUST:

  • Ensure effective systems are established to assess, monitor, improve the quality and safety of the services provided and mitigate the various risks arising from undertaking the regulated activities.

There were areas where the provider could make improvements and SHOULD:

  • Review the practice’s infection control policy to include provision of an annual statement in relation to infection prevention control as required under The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance and ensure it reflects equipment used in the practice.
  • Review the local operational policies and procedures.
  • Review the need for a documented operational policy and procedure for managing medical emergencies and frequency of equipment checks.
  • Review the practice safeguarding policy to include the nominated lead professional, alignment with current guidance and staff training in safeguarding.
  • Review the recruitment process and consider the development of a recruitment policy.
  • Review the provision for copying referral letters to patients.
  • Review the provision of an up to date fire safety risk assessment.

13 February 2014

During a routine inspection

People were welcomed into the practice by the receptionist. The waiting area contained information about treatments which people could take away. There was a small selection of dental items for sale. At the time of our inspection the practice had five regular dentists and two hygienists.

We spoke with four members of staff and five people who used the service on the day of our inspection.

Before people received treatment they were given information about their treatment options, this included risks, timescales and costs. We saw that people signed to indicate their consent before each treatment. One person said 'I am very impressed with the service, I see the same dentist and I am always satisfied.'

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People told us they were able to get appointments at times that were convenient to them. One person told us how a family member had needed an emergency appointment and the dentist had seen them that day. They said 'they are very good at accommodating your needs here.' Every person we spoke with told us that their health and medical history was checked at each visit.

People were cared for in a clean, hygienic environment. There were processes in place to reduce the risk and spread of infection. People we spoke with told us they had no concerns about the cleanliness of the practice.

People were treated and cared for by qualified and experienced staff. People we spoke with told us they had no concerns about the abilities of the staff. One person said 'I have a very good dentist and nurse; they really put you at ease.'

There were effective processes in place to monitor and assess the quality of service that people received.