Updated 7 April 2023
We carried out this announced focused inspection on 30 March 2023 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.
We planned the inspection to check whether the registered practice was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a specialist dental advisor.
To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 questions:
- Is it safe?
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
These questions form the framework for the areas we look at during the inspection.
Our findings were:
- The dental clinic appeared clean and well-maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to manage risks for patients, staff, equipment and the premises.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which reflected current legislation.
- Clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- The appointment system worked efficiently to respond to patients’ needs.
- The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
- There was effective leadership and a culture of continuous improvement.
- Staff felt involved, supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
- Complaints were dealt with positively and efficiently.
- The practice had information governance arrangements.
Background
The Grove Practice is in Leamington Spa and provides private dental care and treatment for adults and children.
Surgeries are on the ground and first floor, however both entrances to the practice have steps. Due to the grade II listed status of the building, it has not been possible to make changes to provide wheelchair access. The practice does not have a car park.
The dental team includes 4 dentists, 7 dental nurses, 3 student dental nurses, 1 dental hygienist, 2 dental therapists, 1 practice manager, 3 patient liaison advisors, 1 patient care coordinator and one administrator. The practice has 4 treatment rooms and 1 hygiene room.
During the inspection we spoke with 2 dentists, 2 dental nurses, 1 patient liaison advisor and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
- Monday to Thursday from 8.30 am to 5pm (reception until 5.:30pm)
- Friday from 8.30 am to 2.30 pm (reception until 3pm)
The practice had taken steps to improve environmental sustainability. For example, an external environmental and sustainability review had been commissioned and the provider had a long-term action plan in place. The provider sold sustainable dental products.