The Care Quality Commission
  • Dentist
  • Dentist

Archived: Gosport Smile Clinic

7 Brockhurst Road, Gosport, Hampshire, PO12 3AJ (023) 9258 4158

Provided and run by:
Mr. Reginald Gyening

All Inspections

14 September 2015

During a routine inspection

We carried out an announced comprehensive inspection on 14 September 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 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

Gosport Smile Clinic is a mixed dental practice providing mainly NHS and some private treatment and caters for both adults and children. The practice is situated in a converted residential property. The practice has three dental treatment rooms and a separate decontamination room for cleaning, sterilising and packing dental instruments and a reception and waiting area. Some facilities were on the ground floor enabling disabled access.

The practice has one full time dentist, a locum, a part-time dental hygienist and a dental nurse. Supporting the clinical staff were a full time practice manager, who is also a dental nurse, two reception staff and a decontamination technician. The practice also had one dental nurse from an agency on the day of our visit. The practice’s opening hours are 8:00am – 5:30pm Mondays to Fridays.

The Provider is 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 of 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 collected 15 completed cards and spoke to two patients. These provided a positive view of the services the practice provides. All of the patients commented that the quality of care was very good.

We carried out an announced comprehensive inspection on 14th September 2015 as part of our planned inspection of all dental practices. The inspection took place over one day and was carried out by a lead inspector and a dental specialist adviser.

Our key findings were:

  • Staff had been trained to handle emergencies and appropriate medicines and emergency equipment were readily available in accordance with current guidelines.
  • Patients’ needs were assessed and care was planned and delivered in line with current professional guidelines.
  • All equipment used in the practice was well maintained in accordance with the manufacturer’s instructions.
  • The practice was visibly clean and well maintained.
  • Infection control procedures were robust and the practice followed published guidance.
  • The practice had enough staff to deliver the service.
  • Staff had received training appropriate to their roles and were supported in their continued professional development (CPD).
  • Staff felt well supported by the practice manager and were committed to providing a quality service to their patients.
  • Information from 15 completed CQC comment cards gave us a positive picture of a friendly, professional service.
  • All complaints were dealt with in an open and transparent way by the practice manager if a mistake had been made.
  • The practice had a programme of clinical audit in place.

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

  • Re-sterilise equipment that has passed it’s expiry date for sterilisation or remove it from use, provide bins for the disposal of hazardous waste that can be operated using a foot pedal and remove materials that are passed their expiry date.
  • Provide a policy on safeguarding adults and review policies, recording the date of review on the policy.
  • Provide all staff with appraisals at least annually.
  • Review records for the Control of Substances Hazardous to Health and update them in line with new products brought into use.
  • Record the distribution of alerts from the Medicines and Healthcare Regulatory Agency and record any actions taken as a result of these alerts.

22 January 2014

During an inspection looking at part of the service

A routine inspection took place in November 2013 which identified that people were not protected from the risk of infection because appropriate guidance had not been followed by the practice.

We also found that emergency equipment and medicines were not monitored to ensure they were available when needed. Both of these concerns were judged to have a minor impact on people who used the service.

The provider was required to submit a plan detailing the action they were taking to ensure compliance with both of these standards and the date at which they would be compliant. The provider told us in their plan that they would be compliant with this standard by 31 December 2013.

At this inspection we found that the provider had taken appropriate measures to achieve compliance with both the standards.

There were effective systems in place to reduce the risk and spread of infection and there were arrangements in place to deal with foreseeable emergencies.

4 November 2013

During a routine inspection

During our visit we spoke with five people who use the service, three dental nurses, two dentists, a receptionist and the practice manager. People we spoke with told us they were satisfied with the information they received. One person said; "I am very impressed with the service'.

We observed that care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. A patient told us; 'Staff were kind and considerate'.

There were arrangements in place to deal with foreseeable emergencies, which included staff training but checks on equipment and medicines were not effective.

Infection control systems were set up to reduce the risk and spread of infection; however these were not being followed.

There were enough qualified, skilled and experienced staff to meet people's needs. A member of staff told us; 'We care about our patients and their needs and we accommodate them whenever we can'.

There was an effective complaints system available. Complaints people made were responded to appropriately. Information about how to complain was available in the practice leaflet and on the waiting room notice board. Two of the five people we spoke with told us they knew how to complain.