21 January 2016
During a routine inspection
We carried out an announced comprehensive inspection on 21 January 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 practice is owned by Perfect Smile (Laburnum) Partnership.
The practice offers primary care dentistry under the NHS, and private dental care including conscious sedation for private patients. It has four surgeries, with one located on the ground floor, a decontamination room and a combined reception and waiting room area.
The practice is open Monday to Thursday 8am to 6pm and Friday 8am to 4pm.
There are four dentists, five dental nurses, two trainee dental nurses, hygienist, receptionist and practice manager.
The Perfect Smile (Laburnum) Partnership is the registered provider for the practice. Registered providers 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 spoke with three dentists, four dental nurses and the practice manager.
We received feedback from patients about the service via 28 Care Quality Commission comment cards. All the comments were positive about the staff and the services provided. Comments included: treated very well, extremely good service, friendly and professional.
Our key findings were:
- There was an effective complaints system.
- 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 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.
- Patients could access routine treatment and urgent care when required.
- The practice was well-led, staff felt involved and supported and worked well as a team.
- The governance systems were effective.
- The practice sought feedback from staff and patients about the services they provided in order to make improvements where needed.
There was an area where the provider could make improvements and should:
• Ensure that flooring in clinical care areas is impervious and easily cleanable in accordance with Department of Health's guidance, Health Technical Memorandum 01- 05 guidance.