Archived: Broadwalk Dental Surgery

Updated 24 September 2015

The inspection took place on 01 September 2015 and was conducted by a CQC inspector and a specialist dental advisor.

Prior to the inspection we asked the practice to send us some information which we reviewed. This included the complaints they had received in the last 12 months, their latest statement of purpose, the details of their staff members, their qualifications and proof of registration with their professional bodies.

We also reviewed the information we held about the practice and consulted with other stakeholders, such as NHS England area team / Healthwatch, however we did not receive any information of concern from them.

During the inspection we spoke with the lead dentist, two dental nurses (one in training) and a receptionist. We also spoke with three patients and reviewed comment cards that we had left prior to the inspection, for patients to complete, about the services provided at the practice.

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 September 2015

We carried out an announced comprehensive inspection on 01 September 2015 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 practice provides mainly primary dental care for NHS patients and a very small number of patients privately. The practice has two surgeries and shares parts of the building with another dental practice that is situated on the first floor of the premises. The decontamination room and reception facilities are shared by both practices.

There are two dentists working at the practice and one of those dentists is the lead person who is registered with the Care Quality Commission. The dentists are supported by two dental nurses and two members of reception staff who both work on a part time basis. The receptionists are responsible for patients at both practices within the building.

The lead dentist is the responsible person. This is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘responsible persons’ and 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 the inspection we spoke with three patients who told us that they were satisfied with the services provided at the practice. They told us that they were treated with kindness, dignity and respect and their privacy was maintained. They said that explanations and costs were clear and they were involved in the decisions about their care and treatment.

We viewed 28 comments cards that we had left for patients to complete prior to our inspection. The comments made in them were overwhelmingly positive and patients said that they were satisfied with the services provided. They said that the practice as always clean and tidy, all staff were polite and respectful and the quality of the dentistry was excellent. Several patients told us that they were nervous but the dentists had managed to reassure them and put them at ease.

Our key findings were:

• There were systems in place to manage safety incidents and complaints and to cascade any learning from them to staff.
• There were sufficient supplies of emergency medicines and equipment and staff had been trained in their use.
• Risks to patients and staff had been assessed and managed effectively. National patient safety and medicine alerts were monitored and acted upon.
• Recruitment processes were robust. Staff had been appropriately trained and received an annual appraisal
• Infection control procedures followed published guidance and staff were following the correct decontamination procedures. Conscious sedation procedures were robust and audited for effectiveness.
• Treatments and consultations followed guidance from the National Institute for Health care Excellence.
• An effective complaints process was in place and this was readily available for patients to view.
• Patients were treated with dignity and respect and staff were polite and courteous.
• The appointment system met the needs of patients including access to emergency dental care.
• The practice was well-led and the lead dentists set standards for staff to follow and monitored them.
• Patient and feedback was sought and monitored through the use of a continuous patient survey. Staff feedback was sought informally, at staff meetings and at appraisals.
• Staff were involved in the vision and strategy at the practice and worked as part of a team

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

• Carry out infection control audits at six monthly intervals.