Archived: Oracare Dental

Updated 1 February 2017

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 practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection took place on the 23 January 2017and was undertaken by a CQC inspector and a dental specialist advisor. Prior to the inspection we reviewed information submitted by the provider.

The methods used to carry out this inspection included speaking with the principal dentist, one associate dentist two dental nurses and practice manager on the day of the inspection, reviewing documents, completed patient feedback forms and observations.

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 1 February 2017

We carried out an announced comprehensive inspection on 23 January 2017 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

Oracare Dental located in Kensington London provides NHS and private dental treatment to patients of all ages.

Practice staffing consists of a principal dentist, six associate dentists, three hygienists, three dental nurses, one receptionist and a practice manager.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. 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, Tuesday and Thursday 10am to 6.30pm, Wednesday 9am to 6pm, Friday 10am to 6pm and Saturdays 10am to 4.00pm.

The practice facilities include three treatment rooms, reception and two waiting areas, decontamination room, and a staff kitchen.

18 patients provided feedback about the service. Patients we spoke with and those who completed comment cards were very positive about the care they received about the service. Patients told us that they were happy with the treatment and advice they had received.

Our key findings were:

• Staff had received safeguarding children and adults training and knew the processes to follow to raise any concerns. The practice had whistleblowing policies and procedure and staff were aware of these and their responsibilities to report any concerns.
• There were systems in place to ensure that all equipment was maintained in line with manufacturer’s guidelines.
• The practice ensured staff were trained and that they maintained the necessary skills and competence to support the needs of patients.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• The appointment system met the needs of patients and waiting times were kept to a minimum.
• Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
• There were systems in place to reduce the risk and spread of infection. Dental instruments were cleaned and sterilised in line with current guidance.
• Patients were treated with dignity and respect and confidentiality was maintained.
• Staff had been trained to handle medical emergencies, and appropriate medicines and life-saving equipment were readily available.
• The practice had a procedure for handling and responding to complaints, which were displayed and available to patients.
• Governance systems were effective and there were a range of policies and procedures in place which underpinned the management of the practice. Clinical and non-clinical audits were carried out to monitor the quality of services.
• The practice sought feedback from patients about the services they provided and acted on this to improve its services.