Background to this inspection
Updated
8 August 2017
Orthoworld 2000 Colchester is in Colchester and provides NHS and private treatment to patients of all ages.
There is level access for people who use wheelchairs and pushchairs. Car parking spaces are available in a car park near to the practice.
The dental team includes three dentists, five dental nurses, two Orthodontic therapists and three receptionists. The registered manager is the practice manager and is new in post. They are being mentored and supported by a local registered manager and the area development manager from the provider organisation. The practice has five treatment rooms.
The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at Orthoworld 2000 Colchester was also the practice manager.
On the day of inspection we collected one CQC comment card filled in by a patient and spoke with three other patients. This information gave us a positive view of the practice.
During the inspection we spoke with one dentist, two dental nurses, two therapists, one receptionist and the registered manager/practice manager and their mentor We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday: 7.30am to 4pm
Tuesday: 8.30am to 5pm
Wednesday: 7.30am to 4pm
Thursday: 8.30am to 5pm
Friday: 7.30am to 4pm
Saturday and Sunday: Closed
Updated
8 August 2017
We carried out this announced inspection on 7 July 2017 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.
Our key findings were:
- The practice was 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 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. 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 dealt with complaints positively and efficiently.
There were areas where the provider could make improvements. They should:
- Regularly monitor and record water temperatures as part of the Legionella risk assessment taking into account guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices.
- Review the practice’s infection control audit process to ensure that regular audit is embedded with action plans developed and completed.
- Regularly undertake staff appraisals to include discussing learning needs, general wellbeing and aims for future professional development.