Updated 21 August 2018
We carried out this announced inspection on 25 July 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 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
Woodchurch Dental Practice is located in a residential area and provides NHS and private dental care and treatment for adults and children.
There are ramps at the front and rear of the practice to facilitate access for wheelchair users and a dedicated car parking space is available. Additional car parking is available near the practice.
The dental team includes a principal dentist, two associate dentists, three dental nurses, a dental hygienist, and a receptionist. The dental team is supported by a practice manager. The practice has two treatment rooms.
The practice is owned by an individual who is the principal dentist 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.
We received feedback from 12 people during the inspection about the services provided. The feedback provided was positive.
During the inspection we spoke to three dentists, dental nurses, and the receptionist. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday 9.00am to 5.00pm
Our key findings were:
- The provider had safeguarding procedures in place and staff knew their responsibilities for safeguarding adults and children.
- The practice had infection control procedures in place.
- The practice was clean and appropriately maintained internally. We saw some damage to the exterior of the premises.
- The provider had robust staff recruitment procedures in place.
- Staff knew how to deal with medical emergencies. Not all the recommended medical emergency equipment was available.
- Staff provided patients’ care and treatment in line with current guidelines.
- The practice team took part in regular training to update and develop their skills.
- Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
- The dental team provided preventive care and supported patients to achieve better oral health.
- The appointment system took account of patients’ needs.
- The provider had a procedure in place for dealing with complaints. The practice dealt with complaints positively and efficiently.
- The practice had a leadership and management structure and a culture of continuous improvement.
- Staff felt involved and supported and worked well as a team.
- The practice asked patients and staff for feedback about the services they provided.
- The provider had information governance arrangements in place.
- The provider had systems in place to identify risks. We found that insufficient measures had been put in place to reduce risks.
There were areas where the provider could make improvements. They should:
- Review the availability of equipment in the practice to manage medical emergencies taking into account the guidelines issued by the Resuscitation Council (UK) and the General Dental Council.
- Review the practice’s systems for environmental cleaning of the non-clinical areas of the practice taking into account the guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices.
- Review the practice’s systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities. In particular, ensure sufficient information is recorded when accidents occur, ensure a review of the fire risk assessment is carried out, ensure the X-ray processing chemicals are stored securely, ensure sufficient measures are in place to reduce the risks associated with some of the medical emergency items, and ensure the relevant X-ray machine cannot be used until the recommended safety measures are in place.