Updated 26 June 2023
We carried out this announced comprehensive inspection on 6 June 2023 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 practice 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 advisor.
To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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:
- The dental clinic appeared clean and well-maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to manage risks for patients, staff, equipment and the premises.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which reflected current legislation.
- Clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- The appointment system worked efficiently to respond to patients’ needs.
- The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
- There was effective leadership and a culture of continuous improvement. Improvements should be made in respect of action plans for radiography audits.
- Staff felt involved, supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
- Complaints were dealt with positively and efficiently.
- The practice had information governance arrangements.
Background
Gedling Dental Surgery is in Nottingham and provides private dental care and treatment for adults and children.
There is step free access into the practice for people who use wheelchairs and those with pushchairs. This is through a ramped entrance directly into the treatment room. There is roadside car parking available close to the practice. The practice has made reasonable adjustments to support patients with access requirements. These include having a ground floor treatment room, a hearing loop, a fitted ramp, and handrails.
The dental team includes 1 dentist, 2 dental nurses and 1 receptionist. The practice has 1 treatment room which is on the ground floor.
During the inspection we spoke with the dentist, 2 dental nurses and the receptionist. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open: Monday and Wednesday from 12:00pm to 7pm, Tuesday from 9:30am to 6pm, Thursday from 9:30am to 5pm Friday 8:30am to 1pm and Saturdays if and when required from 9am to 1pm.
There were areas where the provider could make improvements. They should:
- Take action to ensure audits of radiography have documented learning points and the resulting improvements can be demonstrated.