SR Moors Ltd

Updated 20 February 2017

This inspection took place on the 24 January 2017. The inspection team consisted of a Care Quality Commission (CQC) inspector and a dental specialist advisor.

Prior to the inspection we reviewed information we held about the provider. We also reviewed information we asked the provider to send us in advance of the inspection. This included their

latest statement of purpose describing their values and objectives, a record of any complaints received in the last 12 months and details of their staff members together with their qualifications and proof of registration with the appropriate professional body.

During the inspection we toured the premises and spoke with practice staff including, the dentists, dental nurses, administration staff and receptionists. To assess the quality of care provided we looked at practice policies and 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 20 February 2017

We carried out an announced comprehensive inspection on 24 January 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

SR Moors Ltd is also known as StoneRock Dental Care and situated in Hawkhurst in Kent. The practice provides general dental and Implant services, patients interested in implants can attend the practice if they choose and the practice accepts referrals from other dentists. Services provided are wholly private and fees are displayed in the practice and on the website. The practice provides all the facilities required in a modern dental practice including digital radiographic equipment.

The practice has four treatment rooms one of which is on the ground floor, two waiting areas, a consultation room, staff areas and a local decontamination unit. The practice is accessed via a small flight of stairs at the front of the building and level access to the side of the building.

One of the the practice owners is the registered provider. A registered person who is registered with the Care Quality Commission is responsible 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.

The practice is open Monday 9am to 5pm, Tuesday 9am to 8pm, Wednesday 9am to 4.30pm, Thursday 9am to 5pm. Friday 8am to 2pm. For emergency and out of hour’s assistance contact information is available from the practice telephone answering service and on the practice website.

We reviewed 23 CQC comment cards that had been left for patients to complete, prior to our visit, about the services provided. Feedback from patients was positive about the care they received from the practice. They commented staff put them at ease, listened to their concerns and provided an excellent service they told us they had complete confidence in the dental care provided.

Our key findings were:

• Dentists at the practice had pledged to be antibiotic guardians which had resulted in a 50% reduction in antibiotics prescribed at the practice.

• There were effective systems in place to reduce the risk and spread of infection.

• The treatment rooms were well organised and equipped, with good light and ventilation.

• There were systems to check all equipment had been serviced regularly, including the air compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment.

• The practice carried out oral health assessments and planned treatment in line with current best practice guidance, for example, from UCL Eastman Dental Institute and the Cochrane review papers. Patient dental care records were detailed and showed the recording of patients’ oral health.

• There were systems to help ensure the safety of staff and patients. These included safeguarding children and adults from abuse, maintaining the required standards of infection prevention and control and responding to medical emergencies.

• Staff maintained the necessary skills and competence to support the needs of patients.

• Staff were up to date with current guidelines and the practice was led by a proactive principal dentists.

• Staff were kind, caring, competent and put patients at ease.

• Patients commented they felt involved in their treatment and that it was fully explained to them. Common themes from the CQC comment cards were patients felt they received very good care in a clean environment from a helpful practice team.

• The dental practice had effective clinical governance and risk management processes; including health and safety and the management of medical emergencies.

• The practice had a comprehensive system to monitor   and continually improve the quality of the service; through a detailed programme of clinical and non-clinical audits.

We found two areas of notable practice. The dentists at the practice had pledged to be antibiotic guardians. The antibiotic guardian programme aims to cut the unnecessary prescribing of antibiotics so that we have the choice of using antibiotics only when it is really necessary. Over use is causing antimicrobial resistance. The practice could demonstrate through audits a 50% reduction in antibiotic prescribing at the practice over the last 12 months. Staff explained that pain management through treatments was preferable than issuing antibiotics and that prophylactic prescribing was only carried out after a thorough check of a patient’s medical status. Dentists, used “white papers” (white papers are an informal document used by a person or persons to detail a particular product or service) the white papers used by the practice contained details of particular medical conditions and medicines that patients may suffer from or may be taking. This helped the dentist and patient come to a decision regarding treatment options and helped to address certain challenges.