Archived: Gargrave Dental Practice

Updated 24 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 23 February 2016 and was led by a CQC Inspector and a dental specialist advisor.

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

The methods we used to collect information at the inspection included interviewing staff, observations and reviewing documents.

During the inspection we spoke with one dentist, two dental nurses, and the practice administrator. We saw policies, procedures and other records relating to the management of the service. We reviewed 27 CQC comment cards that had been completed.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. 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.

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 24 March 2016

We carried out an announced comprehensive inspection on 23 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

The Gargrave dental practice is situated in the centre of Gargrave, North Yorkshire and is situated over two floors. The only surgery is located on the first floor of the practice. It has one dentist, one dental hygiene therapist, a practice administrator and three dental nurses.

The practice offers a mix of NHS and private dental treatments including preventative advice and routine restorative dental care.

Opening times:

Monday & Thursday closed

Tuesday, Wednesday & Friday 09:00 – 12:30 14:00 – 17:30.

On the day of inspection we received feedback from 28 patients. The patients who provided feedback were very positive about the care and attention to treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to be brilliant, polite, friendly and professional 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.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Staff had been trained to manage medical emergencies.
• Infection control procedures were in accordance with the published guidelines.
• Patient 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 was a complaints system in place. Staff recorded complaints and cascaded learning to staff.
• The governance systems were effective.
• The practice sought feedback from staff and patients about the services they provided.

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

• Review the process and procedures for domiciliary care, for patients who can no longer access their services. Implement risk assessments in line with the guidelines for the delivery of a domiciliary oral healthcare service 2009.
• Record fridge temperatures where dental materials are stored.​Implement a lone worker policy.
• Implement a latex policy.
• Review the storage of clinical waste to ensure this is stored securely.
• Review the practice protocol for matrix bands to prevent them being reused.