Archived: Darras Hall Dental Practice

Updated 18 February 2016

The inspection was carried out on 15 December 2015 and was led by a CQC inspector. The inspection team also included a dentist specialist advisor.

The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.

During the inspection we spoke with two dentists, three dental nurses, a dental hygienist and practice manager. We reviewed policies, procedures, and other records relating to the management of the service. We reviewed 10 completed Care Quality Commission comment cards.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 18 February 2016

We carried out an announced comprehensive inspection on 15 December 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

The practice is owned by the partnership Davies-Shenfine.

The practice offers complete dental care and full range of cosmetic procedures privately to adults and private complete dental care or primary care dentistry to children under the NHS. There are three surgeries one of which is dedicated to the hygienist.

The practice is open Monday and Wednesday 8:30am to 7:00pm, Tuesday 8:30am to 6pm, Thursday and Friday 8:30am to 5pm and alternate Saturdays 9:00am to 1pm.

There are three dentists, four dental nurses, a hygienist, two receptionists and a practice manager.

The Partnership 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.

We received feedback from patients about the service via 10 Care Quality Commission comment cards. All the comments were positive about the staff and the services provided. Comments included: staff are helpful, understanding and great service.

Our key findings were:

• There was an effective complaints system.
• Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Staff had been trained to manage medical emergencies.
• Infection control procedures were in accordance with the published guidelines.
• Patient care and treatment was planned and delivered in line with evidence based guidelines and current regulations.
• Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
• Patients were treated with dignity and respect and confidentiality was maintained.
• Patients could access routine treatment and urgent care when required.
• The practice was well-led, staff felt involved and supported and worked well as a team.
• The governance systems were effective.
• The practice sought feedback from staff and patients about the services they provided.