Background to this inspection
Updated
3 March 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 carried out on 2 February 2016 and was led by a CQC Inspector and a specialist advisor.
We informed NHS England area team and Healthwatch North Yorkshire that we were inspecting the practice; however we did not receive any information of concern from them.
The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.
During the inspection we spoke with a dentist, the practice manager, a receptionist and two dental nurses. We saw policies, procedures and other records relating to the management of the service. We reviewed nine CQC comment cards that had been completed.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
These questions therefore formed the framework for the areas we looked at during the inspection.
Updated
3 March 2016
We carried out an announced comprehensive inspection on 2 February 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
Mydentist - Hildyard Row - Catterick Garrison provides general dental treatment. The practice is located within Catterick Garrison, North Yorkshire. The service provides NHS treatment for children and adults and an option of a private dental plan is available within the practice. The practice currently has three dentists, who are supported by a practice manager, a dental hygienist, five dental nurses (one of which is a trainee) and a receptionist.
Four surgeries are located on the ground floor, there was a reception and waiting area, a decontamination room, a store room and radiograph developing room and a staff room, patient and staff toilet facilities.
The practice is open:
Monday, Wednesday, Thursday and Friday 08:30 – 17:30
Tuesday 08:30 – 18:00
One Saturday per month.
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.
On the day of inspection we received nine CQC comment cards providing feedback and spoke with four patients The patients who provided feedback were positive about the care and treatment they received at the practice. They told us they were involved in all aspects of their care and were very pleased with the service. They found the staff to be efficient, kind, helpful and polite and they were treated with dignity and respect in a clean and tidy environment.
Our key findings were:
- Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it.
- Staff had been trained to manage medical emergencies.
- Infection prevention and control procedures were in accordance with the published guidelines.
- Patients’ care and treatment was planned and delivered in line with evidence based guidelines, best practice and current regulations.
- 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 patients’ needs.
There were areas where the provider could make improvements and should:
- Review audits of various aspects of the service, such as radiography and infection prevention and control are undertaken at regular intervals to help improve the quality of service. The practice should also ensure all audits have documented learning points so the resulting improvements can be demonstrated.
- Review and update all the practice policies and disseminate this with staff.
- Review the practice COSHH folder and implement an assessment for all materials used within the practice.
- Review the complaints policy to include external agencies and review the accessibility of the policy to patients.