Dental Practice 2

Updated 9 November 2016

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 registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We informed local NHS England area team and Healthwatch that we were inspecting the practice; however we did not receive any information of concern from them.

During the inspection we received feedback from 18 patients who used the service. We also spoke with two dentists, three dental nurses and the practice manager. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

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 9 November 2016

We carried out an announced comprehensive inspection on 15 September 2016 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

Dental Practice 2 is situated in the Gosforth area of Newcastle, Tyne and Wear. It offers mainly NHS dental treatments to patients of all ages but also offers private options. The services include preventative advice and treatment, routine restorative dental care, orthodontics and dental implants.

The practice has three surgeries, a decontamination room, a waiting area, a reception area, a seminar room and an X-ray room. The reception area, waiting area, X-ray room and two of the surgeries are on the ground floor of the premises. The other surgery is on the first floor.

There is step free access to the premises and a ground floor accessible toilet. The practice is a training practice for newly qualified dentists or dentists from overseas (foundation dentist). Training practices have been approved by the regional postgraduate deanery to provide education supervision to foundation dentists.

There are six dentists (including a foundation dentist), one dental hygiene therapist, four dental nurses (including two trainee dental nurses) and a practice manager. The dental nurses also cover reception duties on a rota basis.

The opening hours are Monday to Wednesday from 9-00am to 5-30pm, Thursday from 8-30am to 5-00pm and Friday from 8-30am to 4-30pm.

The practice owner is registered with the Care Quality Commission (CQC) as an individual. 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.

During the inspection we received feedback from 18 patients. The patients were positive about the care and treatment they received at the practice. Comments included that staff were friendly, helpful and charming. They also commented that the premises were always clean and hygienic and they felt safe and comfortable.

Our key findings were:

• The practice was visibly clean and uncluttered.
• The practice had systems in place to assess and manage risks to patients and staff including health and safety and the management of medical emergencies.
• Staff were qualified and had received training appropriate to their roles.
• Patients were involved in making decisions about their treatment and were given clear explanations about their proposed treatment including costs, benefits and risks.
• Dental care records showed that treatment was planned in line with current best practice guidelines.
• Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• We observed that patients were treated with kindness and respect by staff.
• Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood.
• The practice had an effective complaints system in place.
• Patients were able to make routine and emergency appointments when needed.
• The governance systems were effective.
• There were clearly defined leadership roles within the practice and staff told us that they felt supported, appreciated and comfortable to raise concerns or make suggestions.
• There were some gaps in the servicing history of the Orthopantomogram (OPG) machine.
• There was an accessible toilet but this was partially obstructed by an X-ray machine.

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

• Review the process for checking medical emergency equipment and medicines.
• Review the availability of a plinth under the handwashing sink in the decontamination room.
• Review the protocols and procedures for use of X-ray equipment giving due regard to guidance notes on the safe use of X-ray Equipment.
• Establish whether the practice is in compliant with its legal obligations under Ionising Radiation Regulations (IRR) 99 and Ionising Radiation (Medical Exposure) Regulation (IRMER) 2000.
• Review its responsibilities to the needs of people with a disability and the requirements of the Equality Act 2010.