Updated 23 January 2023
We carried out this announced comprehensive inspection on 20 December 2022 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 practice was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a Care Quality Commission, (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 5 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:
- The dental clinic appeared to be visibly clean and well-maintained.
- The practice had infection control procedures which reflected published guidance. The storage of reusable burs should be reviewed.
- Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to help them manage risk to patients and staff.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which reflected current legislation.
- The clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect and staff took care to protect their privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- The appointment system took account of patients’ needs. The tracking of referrals could be improved.
- There was effective leadership and a culture of continuous improvement.
- Staff felt involved and supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
- Complaints were dealt with positively and efficiently.
- The dental clinic had information governance arrangements.
Background
Azure Dental Practice is in Tinsley, Sheffield and provides NHS and private dental care and treatment for adults and children.
There is ramped access to the practice for people who use wheelchairs and those with pushchairs. The practice has a small car park, additional street parking is available near the practice. Handrails are installed at the entrance for patients with impaired mobility.
The dental team includes 2 dentists, 3 dental nurses (1 of which is a trainee), a practice manager and a receptionist. The practice has 3 treatment rooms.
During the inspection we spoke with both dentists, 2 dental nurses, the receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday 9am to 1pm and 2pm to 6pm
There were areas where the provider could make improvements. They should:
- Improve the practice’s infection control procedures and protocols taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices, and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’. Specifically, the reprocessing of implant drills and pouching of reusable burs.
- Implement protocols and procedures in relation to the Accessible Information Standard to ensure that that the requirements are complied with.
- Implement a system to ensure patient referrals emailed to other dental or health care professionals are centrally monitored to ensure they are received in a timely manner and not lost.