Archived: 2 Harcourt House

Updated 19 March 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.

The inspection was carried out on 10th December 2014 by an inspector and a specialist dental advisor. We reviewed information received from the provider prior to the inspection. On the day of our inspection we looked at practice policies and protocols, clinical patient records and other records relating to the management of the service. We spoke to practice owner who was also the provider; another dentist, the dental hygienist, two dental nurses, the practice manager and the receptionist. We also reviewed 18 comments cards completed by patients.

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?

This informed our view of the care provided and the management of the practice.

Updated 19 March 2015

2 Harcourt House is a private practice and referral centre providing both general and specialist dental treatment. This includes preventive, aesthetic and restorative treatment. The practice treats mostly adults and sometimes children and is situated in a central London location close to transport links.

The practice shares premises, facilities and many of its systems and processes with another dental provider in Cavendish Square. The premises consists of a large, comfortably furnished waiting area with a separate reception area to ensure privacy and dignity for patients when discussing sensitive matters in relation to their dental treatment. The premises has five dental treatment rooms and a dedicated decontamination area located away from public access.

The staff structure of the practice consists of the provider, a practice manager, one other dentist, a dental nurse and a receptionist. The practice employs the services of two part time dental hygienists who carry out preventative advice and treatment on prescription from the dentists working in the practice. The dental nurse carries out extended duties (for which they have attended certified training courses) including taking of X-rays.

We found the practice was modern and well equipped with well-maintained surroundings. At our visit we observed all members of staff were kind, caring, competent, put patients at their ease and led by an effective practice management team.

Our key findings were;

• There were effective systems in place to reduce the risk and spread of infection.
• We found all treatment rooms and equipment appeared very clean.
• There were systems in place to check all equipment had been serviced regularly, including the suction compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment.
• We found the dentists regularly assessed each patient’s gum health and took X-rays at appropriate intervals
• The practice had a comprehensive risk management process which was continually being updated and reviewed to ensure the safety of patients and staff members.
• The practice kept up to date with current guidelines and research.
• The governance arrangements of the practice were evidence based and developed through a process of continual learning.

We reviewed 18 comment cards that had been completed by patients. Common themes were patients felt they were treated as individuals by kind, competent and professional staff who were always caring and attentive.

There were also areas of practice where the provider could take action to make improvements;

• Although we found no deficiencies in the infection prevention and control procedures, the practice should ensure their infection control processes are audited every six months (rather than annually as they currently do) to assess compliance with Department of Health guidance.