Arc Healthcare Ltd - Dental Services

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We found this practice was providing safe care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

The practice had processes to identify and manage risks; staff we spoke with were able to describe these to us. Staff demonstrated an open culture in relation to people’s safety. Staff felt confident that risks were well managed at the practice and the reporting of risks was encouraged. Emergency equipment and medicines were available and checked in accordance with national guidance. Staff could access these in a timely way. Staff knew how to respond to a medical emergency and had completed training in emergency resuscitation and basic life support every year. We found there was no blood and bodily fluid spillage kit available. This was ordered immediately following our assessment. The premises were visibly clean, well maintained and free from clutter. Hazardous substances were clearly labelled and stored safely. The practice did not carry out risk assessments to minimise the risk that could be caused from substances that are hazardous to health although safety data sheets were available. Following the inspection samples of risk assessments were submitted. We saw satisfactory records of servicing and validation of equipment in line with manufacturer’s instructions. Fire exits were clear, well signposted and equipment checked. A fire safety risk assessment had been carried out by the provider. Following our assessment an external company was booked to carry out a full risk assessment due to the recent purchase of the premises which included a flat above the practice.

The practice had a recruitment policy and procedures that reflected relevant legislation, to help them employ suitable staff. The practice ensured clinical staff were qualified, registered with the General Dental Council and had appropriate professional indemnity cover. Newly appointed staff had a structured induction, which included safeguarding. The provider ensured clinical staff completed continuing professional development required for their registration with the General Dental Council. The practice had arrangements to ensure staff training was up-to-date and reviewed at the required intervals. There were also effective processes to support and develop staff with additional roles and responsibilities within their capabilities. Staff we spoke with had the skills, knowledge and experience to carry out their roles. They told us that there were sufficient levels of staff on duty at all times. They demonstrated knowledge of safeguarding and were aware of how safeguarding information could be accessed. Staff knew their responsibilities for safeguarding vulnerable adults and children. Staff stated they felt respected, supported and valued, and they were happy to work in the practice. Staff discussed their training needs during clinical supervision and ongoing informal discussions. They also discussed learning needs, general wellbeing and aims for future professional development.

The practice had infection control procedures that reflected published guidance. This included procedures to reduce the risk of Legionella, or other bacteria, developing in water systems. Although a documented Legionella risk assessment had not been carried out the provider carried out monthly water temperature checks, annual water testing and received accredited certifications. Immediately following our assessment an external company had been booked to carry out a full Legionella risk assessment due to the recent purchase of the premises. The practice had cleaning procedures and schedules to ensure effective cleaning. We observed the decontamination of used dental instruments, which aligned with national guidance. Staff received appropriate training and demonstrated knowledge and awareness of infection prevention and control processes. The equipment in use was maintained and serviced as per manufacturers’ instructions. We saw and staff confirmed that single use items were not reprocessed. Staff followed infection control principles, including the use of personal protective equipment and safely segregated and disposed of hazardous waste. The practice completed infection prevention and control audits however, these were carried out annually rather than 6 monthly in line with current guidance.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.