Lancaster Dental Clinic

We carried out an announced comprehensive inspection on 25 November 2015 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 not 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 thispractice was not providing responsive care in accordance with the relevant regulations.

Are services well-led?

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

Background

The practice is situated close to Lancaster city centre. The practice is staffed by the lead dentist (the provider) and a part-time associate dentist. Dental treatment is provided from Tuesday to Friday each week. There are two part-time dental hygienist who work on a Monday, Thursday and alternate Wednesday and Friday. There are no evening or weekend surgery hours available. There is always a receptionist and a dental nurse in the practice when care is being provided. The practice manager is based at this location but also covers the second practice within Lancaster University Campus.

The dentist is the registered provider for the practice. 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.

The practice was providing care which was effective and caring, in accordance with the relevant regulations. However we found that this practice was not always providing safe, responsive and well led care in accordance with the relevant regulations.

Our key findings were:

• Staff had received safeguarding and whistleblowing training and knew the processes to follow to raise any concerns.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Staff had been trained to handle medical emergencies.
• The appointment system met the needs of patients and waiting times were kept to a minimum.
• The practice did not actively seek feedback from patients about the services they provided.
• The practice did not have a system in place which recorded and analysed significant events and complaints and cascaded learning to staff.
• Staff had undertaken training appropriate to their roles and responsibilities. There was no formal system in place to monitor training.
• There was a concern over the practice’s infection control procedures and the practice was not following published guidance.
• We could not assure ourselves that patient’s care and treatment was planned and delivered in line with evidence based guidelines, and current legislation.
• Patients were treated with dignity and respect and personal confidentiality was maintained but there were concerns regarding the storage of treatment records.
• The practice had some shortfalls in leadership, however staff felt involved and worked as a team.
• Governance systems were not robust. . Clinical and non-clinical audits were not undertaken to monitor the quality of services. Where risk assessments had identified concerns these had not been acted upon.
• Fire safety in the practice did not meet required standards.
• Practice policies and procedures had not been reviewed periodically.

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

• Assess, monitor and mitigate the risks to the health and safety of patients, staff and visitors.
• Ensure that the premises used by the service provider are safe to use for their intended purpose and are used in a safe way.
• Ensure that the practice meets fire safety guidance.
• Ensure that the equipment used by the service provider for providing care and treatment to a patient is safe for such use and is used in a safe way.
• Have systems in place for assessing the risk of, and preventing, detecting and controlling the spread of, infections, including those that are health care associated.
• Ensure there is an effective approach for identifying where quality and/or safety is being compromised and steps are taken in response to issues. These include all audits and risk assessments undertaken within the practice.
• Establish systems to support communication about the quality and safety of services and what actions have been taken as a result of audits, concerns, complaints and compliments.
• Ensure that audit processes function well and have a positive impact in relation to quality governance, with clear evidence of actions to resolve concerns.
• Establish processes to actively seek the views of patients and should be able to provide evidence of how they have taken these views into account in relation to decisions.

You can see full details of the regulation not being met at the end of this report.

There were areas where the provider could make improvements and should consider:

• Establishing systems which monitor that all staff members receive appropriate support, training and supervision necessary for them to carry out their duties.

• Periodically review all policies and procedures and reflect the protocols in place in the practice.
• Carrying out equipment checks as required and keeping records of these.
• Reviewing procedures for storage of paper records in accordance with the Department of Health's code of Practice for Records Management (NHS Code of Practice 2006) and other relevant guidance about information security and governance.
• Clearly defining job roles and delegating staff relevant responsibilities to involve all staff in the governance framework.