Archived: Deneholme Dental Practice

Updated 15 October 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting their obligations associated with the Health and Social Care Act 2008.

The inspection was carried out on 22 July 2015 and was led by a CQC Lead Inspector. The team also included a dentist specialist advisor.

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.

We informed NHS England area team that we were inspecting the practice; however, we did not receive any information of concern from them. We reviewed information received from the registered provider prior to the inspection.

The methods that were used to collect information at the inspection included interviewing staff, speaking with patients, observations and review of documents.

During the inspection we spoke with the dentist, a dental nurse and the receptionist. We also spoke with one patient. We saw policies and procedures, six clinical patient records and other records relating to the management of the service. We reviewed 44 CQC comment cards that had been completed.

Updated 15 October 2015

We carried out an announced comprehensive inspection on 22 July 2015 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.

The practice is run as a partnership. There are five dentists, six dental nurses, a hygienist and a manager.

The practice provides primary care dental services under the NHS to patients within a five mile radius of the practice.

The practice is open Monday to Thursday from 9am to 5.30pm and from Friday 9am to 3.30pm. The practice also offers early and late appointments by appointment.

The partnership is the registered provider for the practice. 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 patients about the service. All the comments were positive about the staff and the services provided. Comments included: the practice was clean, staff were friendly and the treatment was excellent.

Our key findings were:

• There was an effective complaints system. Staff recorded complaints and cascaded learning to staff.
• 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, best practice 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.
• The appointment system met patients’ needs.
• The practice was well-led and 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.