Archived: Bupa Dental Care Sturry

Updated 3 April 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection took place on the 7 February 2017 and was undertaken by a CQC inspector and a dental specialist advisor. Prior to the inspection we reviewed information submitted by the provider and information available on the provider’s website.

The methods used to carry out this inspection included speaking with the practice manager, dentists, dental nurses and reception staff on the day of the inspection, we reviewed documents, and observed the practice during a working day.

We received 16 completed Care Quality Commission comment from patients and feedback was positive about the service. We also spoke with three patients following our inspection over the telephone.

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 3 April 2017

We carried out an announced comprehensive inspection on 7 February 2017 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

Apex Dental Care – Sturry is owned and operated by the Oasis Dental Care group and provides NHS and private dental services to the local community. The demographics of the practice were mixed, serving patients from a range of social and ethnic backgrounds. The staffing team consisted of three dentists, two locum dentists, one hygienist, three qualified dental nurses who are registered with the General Dental Council (GDC), one of which is the head nurse, one student nurse, two receptionists and a practice manager

The practice is open Monday and Tuesday from 8am to 7pm Wednesday, Thursday and Friday 8am to 5pm and Saturdays 9am to 1pm, by appointment only. The practice facilities include four consultation/treatment rooms, reception and two waiting areas, decontamination room and staff room/facilities.

We received feedback from 16 patients. Patient feedback was positive about the service. Patients told us that staff were professional and caring and treated them with respect. They described the service as very good and provided an excellent standard of care. Information was given to patients appropriately and that staff were helpful.

The practice manager, is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. 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.

Our key findings were:

• The practice had a process for managing significant and safety events.
• There were systems to reduce the risk and spread of infection. Dental instruments were cleaned and sterilised in line with current guidance.
• There were systems to ensure that all equipment, including the suction, compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment were working effectively.
• Staff had completed safeguarding children and vulnerable adults training and knew the processes to follow to raise any concerns. The practice had whistleblowing policies and procedure and staff were aware of these and their responsibilities to report any concerns.
• Patients’ care and treatment was planned and delivered in line with current legislation and evidence based guidelines such as that from the National Institute for Health and Care Excellence (NICE).
• The practice ensured staff were trained and that they maintained the necessary skills and competence to support the needs of patients.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Staff had been trained to handle medical emergencies, and appropriate medicines and life-saving equipment were readily available.
• 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.
• The appointment system met the needs of patients and waiting times were kept to a minimum.
• The practice had a procedure for handling and responding to complaints, which was displayed and available to patients.
• The practice was well-led and staff felt valued, involved and worked as a team. Staff meetings were held to share information and facilitate learning.
• Governance systems were effective and there were a range of policies and procedures which underpinned the management of the practice. Clinical and non-clinical audits were carried out to monitor and improve the quality of services.
• The practice sought feedback from staff and patients about the services they provided.

There were areas where the provider could make improvements and should:

• Review the current arrangements for radiographic quality assurance audits. Paying due attention to the grading process.