14 February 2017
During a routine inspection
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
Paddock Dental Practice is located in the centre of Handforth. The practice has a reception and waiting room, four treatment rooms, a decontamination room and patient toilet facilities all at ground floor level. Parking is available to the rear of the practice in a car park. The practice is accessible to patients with disabilities, limited mobility, and to wheelchair users.
The practice provides general dental treatment to patients on an NHS or privately funded basis. The opening times are Monday to Friday 8.30am to 6.00pm. The practice is closed for lunch between 1.00pm and 2.00pm. The practice is staffed by two principal dentists, a practice manager, four associate dentists, a dental hygiene/therapist and seven dental nurses, one of whom is a trainee. The dental nurses also carry out reception duties.
The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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.
We received feedback from 47 people during the inspection about the services provided. Patients commented that they found the practice excellent and well organised, and that staff were professional, friendly, and caring and go out of their way for patients. They said they were always given good and helpful explanations about dental treatment, and that the dentists listened to them. Patients commented that the practice was clean and comfortable and staff were always accommodating with appointments.
Our key findings were:
- The practice had procedures in place to record, analyse and learn from significant events and incidents.
- Staff had received safeguarding training, and knew the processes to follow to raise concerns.
- There were sufficient numbers of suitably qualified and skilled staff to meet the needs of patients.
- Staff had been trained to deal with medical emergencies, and emergency medicines and equipment were available.
- The premises and equipment were clean, secure and well maintained.
- Staff followed current infection control guidelines for decontaminating and sterilising instruments.
- Patients’ needs were assessed, and care and treatment were delivered in accordance with current standards and guidance.
- Patients received information about their care, proposed treatment, costs, benefits, and risks and were involved in making decisions about it.
- Staff were supported to deliver effective care, and opportunities for training and learning were available.
- Patients were treated with kindness, dignity, and respect, and their confidentiality was maintained.
- The appointment system met the needs of patients, and emergency appointments were available.
- Services were planned and delivered to meet the needs of patients.
- The practice gathered the views of patients and took their views into account.
- Staff were supervised, felt involved, and worked as a team.
- Governance arrangements were in place for the smooth running of the practice and for the delivery of high quality person centred care.