Updated 12 May 2017
We carried out this announced inspection on 28 April 2017 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 CQC inspector who had access to remote support by a specialist dental advisor.
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 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
IC Goossens is located in Romford in the London Borough of Havering and provides and private prosthodontic treatment by referral only to patients, mainly adults.
The practice is located on the first floor of a refurbished residential property and there is no level access for people who use wheelchairs and pushchairs. The practice had an arrangement with the dental practice located on the ground floor of the premises to use one of their dental rooms should patients be unable to access the first floor.
The dental team includes one dentist, one dental nurse and one receptionist. The practice has one treatment room.
The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 registered manager at IC Goossens was the principal dentist.
On the day of inspection we collected 58 CQC comment cards filled in by patients and spoke with one other patient. This information gave us a positive view of the practice.
During the inspection we spoke with the principal dentist, the dental nurse and the receptionist. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Mondays between 8.30am and 1pm and 2pm to 5pm
Tuesdays to Thursdays between 8.30am and 1pm and 2pm to 6pm
Fridays between 8.30am and 1pm and 2pm to 4pm
Our key findings were:
- The practice was clean and well maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to help them manage risk.
- The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding patients.
- The practice had thorough staff recruitment procedures.
- 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.
- The appointment system met patients’ needs.
- The practice had effective leadership. Staff felt involved and supported and worked well as a team.
- The practice asked staff and patients for feedback about the services they provided.
- The practice dealt with complaints positively and efficiently.