• Dentist
  • Dentist

Shrawley House Dental Practice

Shrawley House, 367 Worcester Road, Malvern, WR14 1AR (01684) 572357

Provided and run by:
Hale

Important: The provider of this service changed. See old profile

Report from 23 July 2024 assessment

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Safe

Regulations met

Updated 19 December 2024

We found this practice was providing safe care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

Learning culture

Regulations met

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

Safe systems, pathways and transitions

Regulations met

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

Safeguarding

Regulations met

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

Involving people to manage risks

Regulations met

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

Safe environments

Regulations met

The practice ensured equipment was safe to use and maintained and serviced according to manufacturers’ instructions. The practice ensured the facilities were maintained in accordance with regulations. Not all the required medical emergency equipment and medicines were available or checked in accordance with national guidance. The children’s self-inflating bag and clear face masks for the self-inflating bag (sizes 0 to 4) were missing and the adult self-inflating bag with reservoir had no expiry date. The glucagon was out of date. Items that were missing or out of date were ordered immediately following our assessment. A fire safety risk assessment was carried out in line with the legal requirements. The management of fire safety was effective. The practice had arrangements to ensure the safety of the X-ray equipment and the required radiation protection information was available. The practice had risk assessments to minimise the risk that could be caused from substances that are hazardous to health. The practice had implemented systems to assess, monitor and manage risks to patient and staff safety. This included sharps safety, sepsis awareness and lone working. The practice had systems for appropriate and safe handling of medicines. The address of the practice was not included on the medication labels in line with guidance when dispensing antibiotics to patients. The provider addressed this immediately. Antimicrobial prescribing audits were carried out.

Safe and effective staffing

Regulations met

The practice had a recruitment policy and procedure to help them employ suitable staff, including for agency or locum staff. These reflected the relevant legislation. The practice ensured clinical staff were qualified, registered with the General Dental Council and had appropriate professional indemnity cover. Newly appointed staff had a structured induction, and clinical staff completed continuing professional development required for their registration with the General Dental Council. The practice had arrangements to ensure staff training was up-to-date and reviewed at the required intervals. We saw the practice had effective processes to support and develop staff with additional roles and responsibilities.

Infection prevention and control

Regulations met

The practice had infection control procedures which reflected published guidance and the equipment in use was maintained and serviced. Staff demonstrated knowledge and awareness of infection prevention and control processes and we saw single use items were not reprocessed. Staff had appropriate training, and the practice completed infection prevention and control audits. These were complete yearly not bi-annually in line with current guidance. The practice had procedures to reduce the risk of Legionella, or other bacteria, developing in water systems, in line with a risk assessment. The practice had policies and procedures in place to ensure clinical waste was segregated and stored appropriately in line with guidance.

Medicines optimisation

Regulations met

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.