Updated 20 August 2018
We carried out this announced inspection on 02 August 2018 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 was supported by a specialist dental adviser.
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
St Faiths Clinic is in East Grinstead, West Sussex. The practice holds an NHS contract to provide Minor Oral Surgery to patients of all ages.
The practice is accessible for pushchairs and wheelchairs. Car parking spaces including those for blue badge holders are available onsite.
The dental team includes the clinical director/oral surgeon, a visiting oral surgeon, six dental nurses who perform dual roles on reception, four receptionists and a practice manager who is a qualified dental nurse. The practice has four treatment rooms.
The practice is owned by an individual who is the clinical director there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
On the day of inspection, we collected feedback from 17 patients.
During the inspection we spoke with the clinical director, three dental nurses, three receptionists and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
- Monday to Friday from 8.30am to 5pm
- Saturdays and late appointments by arrangement only
Our key findings were:
- The practice appeared 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 staff had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
- 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 and a culture of continuous improvement.
- 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 staff dealt with complaints positively and efficiently.
- The practice staff had suitable information governance arrangements.