Nuffield House Dental Practice

Updated 21 April 2017

The inspection was carried out on 9 December 2016 and was led by a CQC inspector. The inspection team also included a professional dental specialist advisor.

The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.

During the inspection we spoke with two dentists, two dental nurses, the receptionists and four patients. We reviewed the comments made by patients who we spoke with during the inspection and 39 patients who completed CQC comment cards.

We reviewed policies, procedures 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 21 April 2017

We carried out an announced comprehensive inspection on 9 December 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

Nuffield House Dental Practice is situated within purpose adapted premises in Harlow, Essex. The practice has four treatment rooms and a combined waiting room and reception area. Decontamination takes place within a dedicated decontamination room (Decontamination is the process by which dirty and contaminated instruments are bought from the treatment room, washed, inspected, sterilised and sealed in pouches ready for use again).

The practice offers predominantly NHS and some private general and cosmetic dental treatments to adults and children.

The practice is registered with the Care Quality Commission (CQC) as an organisation. The principal dentist is the ‘registered manager’. 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.

In addition to the principal dentist, three associate dentists and six dental nurses work at the dental practice. The dental team are supported by two part time dental hygienists.

The practice is open and appointments are available from 9am to 5.30pm Mondays to Thursdays and between 8am and 4pm on Fridays.

We received feedback from 39 patients who completed CQC comment cards prior to our inspection visit. We also spoke with four patients during the inspection visit. Patients made positive comments about the quality of the dental care and treatment that they received. They also commented positively about the cleanliness of the premises, the friendliness and helpfulness of staff. Patients said that the dentists explained treatment plans to them in a way that they could easily understand. Patients told us that the dentists were kind and understanding particularly when treating anxious or nervous patients.

Our key findings were:

• The practice had systems in place for investigating and learning from complaints, safety incidents and accidents. Staff were aware of their responsibilities to report incidents.
• The practice was visibly clean and clutter free. Infection control practices were reviewed and audited to test their effectiveness.
• There were systems in place to help keep people safe, including safeguarding vulnerable children and adults. Staff had undertaken training and were aware of their roles and responsibilities in relation to this.
• Risks to the health, welfare and safety of patients and staff were regularly assessed and managed. These included risks in relation to fire, legionella and risks associated with premises and equipment.
• The practice reviewed and followed guidance in relation to dentistry.
• The practice had the recommended medicines and equipment for use in the event of a medical emergency and staff were trained in their use. Records were maintained in respect of the checks carried out for these medicines and equipment.
• Staff were recruited robustly, supported, supervised and undertook training in respect of their roles and responsibilities within the practice.
• Patients reported that they were treated with respect and that staff were polite and helpful.
• Patients were involved in making decisions about their care and treatments.
• Effective governance arrangements were in place for the smooth running of the service.
• Audits and reviews were carried out to monitor and improve services. Learning from audits and reviews was shared with relevant staff and action plans were developed to secure improvements where these were identified.
• Patient’s views were sought and these were used to make improvements to the service where these were identified.