The Care Quality Commission
  • Dentist
  • Dentist

Castle View Surgery Limited

70 North Road, Durham, County Durham, DH1 4SQ (0191) 384 8481

Provided and run by:
Castle View Surgery Limited

All Inspections

2 September 2019

During a routine inspection

We carried out this announced inspection on 2 September 2019 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 provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

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 form the framework for the areas we look at during the inspection.

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

Castle View Surgery Ltd is in the centre of Durham and provides private treatment to adults and children.

The practice is based on the first and second floors of the building and cannot accommodate

wheelchairs and those with pushchairs. Alternative accessible dental practices are available in Durham. Public car parking is available, and local transport links are available nearby.

The dental team includes two dentists, a dental hygienist, six dental nurse/receptionists (one of whom is a trainee) and two practice managers. The practice has three treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 registered manager at Castle View Surgery Limited is the principal dentist.

On the day of inspection, we collected 30 CQC comment cards filled in by patients and 150 web based CQC reviews were completed. All comments were very positive about the care and treatment provided at Castle View Surgery Limited.

During the inspection we spoke with two dentists, three dental nurses and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 9:15am – 7pm, Tuesday and Thursday 9:15am-5:15pm, Wednesday 9:15am-12:30pm and Friday 9:15am-1:30pm.

Our key findings were:

  • The practice appeared clean and well maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had systems to help them manage risk to patients and staff.
  • The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had thorough staff recruitment procedures
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff provided preventive care and support patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and culture of continuous improvement.
  • Staff felt involved and supported and worked well as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • The provider had suitable information governance arrangements.

31 May 2013

During an inspection looking at part of the service

At our last inspection in October 2012 we found the provider did not have a suitable recruitment procedure and had not carried out robust background checks before appointing one of the staff at the practice.

At this inspection we found improvements had been made. Although no new appointments had been made, we found the provider now had a robust recruitment process in place. This demonstrated relevant background checks would be carried out to make sure all new staff appointed at the practice were suitable to work with vulnerable people. Background checks had now been carried out for all existing staff.

11 October 2012

During a routine inspection

We spoke with people in the waiting room within the practice. Everybody we spoke with talked positively about the care and treatment they had received at the practice. One person had just seen the dentist prior to speaking with us and said they'd had "A good experience." Another person told us they had been visiting the practice for over 25 years and said 'It's like a home from home.' All of the people we spoke with said they had no grounds for complaint.

We found people were involved in making decisions about their treatment and consent was gained before treatment commenced.

Staff were aware of their roles and responsibilities with regards to protecting people from abuse or the risk of abuse. They were able to provide us with a range of potential signs of abuse and knew how to react to these should the situation arise.

There were effective systems in place to reduce the risk and spread of infection.

People we spoke with were very complimentary about the staff who worked in the practice. One person said their dentist was 'Quite nice, alright' and another person said their dentist 'Has a good chair-side manner.' However we found the provider had not completed a CRB check for one of the dental staff and did not operate effective recruitment procedures.

We saw the provider sought the views of patients by asking them to complete a questionnaire. Responses from patients were generally positive.