Dr Browns Dental Surgery

Updated 18 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.

We inspected Dr Browns Dental Surgery on 14 February 2017. The inspection was carried out by a Care Quality Commission (CQC) inspector and a dental specialist advisor.

Prior to the inspection we reviewed information we held about the provider from various sources. We informed NHS England that we were inspecting the practice. We also requested details from the provider in advance of the inspection. This included their latest statement of purpose describing their values and objectives and a record of patient complaints received in the last 12 months.

During the inspection we toured the premises, spoke with the provider, the dental nurse and the receptionist. We also reviewed CQC comment cards which patients had completed. We reviewed a range of practice policies and practice 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 18 April 2017

We carried out an announced comprehensive inspection on 14 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

Dr Browns Dental Surgery is a dental practice providing general dental services on a NHS and private basis. The service is provided by one dentist (who is the provider). They are supported by two dental nurses and a receptionist.

The practice is located on a main road near local amenities and bus routes. There is wheelchair access to the practice (via a side entrance) and on-street car parking.

The premises consist of a waiting room, a reception area, one treatment room, a decontamination room and a disused laboratory on the ground floor. Toilet facilities are available for patients on the ground floor but these are not wheelchair-accessible. The first floor is for staff use only and comprises of a storage room, staff room, kitchen and toilet facilities. The practice opens between 9:30am and 5:30pm from Monday to Friday.

The provider 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.

Twenty-three patients provided feedback about the practice. We looked at comment cards patients had completed prior to the inspection. Only two patients were booked on the day of our visit and we were unable to speak with them. Patients were unanimous in their praise of the practice and its staff. Patients were positive about their experience and they commented that staff were caring, warm and professional. Those that commented on cleanliness confirmed that the practice was always clean and hygienic. A number of patients commented that they had been patients at the practice for many years and would not want to go anywhere else.

Our key findings were:

• The practice was organised and appeared clean and tidy on the day of our visit. Many patients also commented that this was their experience.
• Patients were able to make routine and emergency appointments when needed and gave us positive feedback about the service they received.
• An infection prevention and control policy was in place. We saw the decontamination procedures followed recommended guidance.
• The practice had systems to assess and manage risks to patients, including health and safety, safeguarding, safe staff recruitment and the management of medical emergencies.
• Dental professionals provided treatment in accordance with current professional guidelines.
• Staff received training appropriate to their roles.
• There was appropriate equipment for staff to undertake their duties, and equipment was well maintained.
• The practice had a complaints system in place.
• Staff told us they felt well supported and comfortable to raise concerns or make suggestions.
• Practice meetings were used for shared learning.
• The practice demonstrated that they undertook audits in infection control, radiography and dental care record keeping; however, one of these was overdue.

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

• Review the practice’s system for the recording, investigating and reviewing incidents or significant events with a view to preventing further occurrences and ensuring that improvements are made as a result.
• Review stocks of medicines and equipment and the system for identifying and disposing of expired stock.
• Review the practice's recruitment policy and procedures to ensure proof of identification are requested and recorded suitably.
• Review its audit protocols to ensure infection control audits are undertaken at regular intervals and where applicable learning points are documented and shared with all relevant staff.