Background to this inspection
Updated
18 May 2016
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.
We carried out an announced, comprehensive inspection on 22 March 2016. The inspection team consisted of a Care Quality Commission (CQC) inspector and a dental specialist advisor.
Before the inspection we asked the practice for information to be sent, this included the complaints the practice had received in the last 12 months; their latest statement of purpose; the details of the staff members, their qualifications and proof of registration with their professional bodies.
We also reviewed the information we held about the practice and found there were no areas of concern.
During the inspection we spoke with four members of staff. We reviewed policies, procedures and other documents. We received feedback from 40 patients about the dental service.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
These questions therefore formed the framework for the areas we looked at during the inspection.
Updated
18 May 2016
We carried out an announced comprehensive inspection on 22 March 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
Clay Cross Family Dental Centre is located over two floors of a building close to the centre of Clay cross. The practice was registered with the Care Quality Commission (CQC) in October 2011. The practice provides an NHS dental service. Services provided include general dentistry, dental hygiene, crowns and bridges, and root canal treatment.
The practice’s opening hours are: Monday to Friday: 9 am to 1pm and 2 pm to 6 pm. The practice is closed at the weekends.
Access for urgent treatment outside of opening hours is by telephoning the practice and following the instructions on the answerphone message.
One of the partners is registered with the Care Quality Commission (CQC). 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 has three dentists; three trainee dental nurses; one receptionist and one practice manager.
We received positive feedback from 40 patients about the services provided. This was through CQC comment cards left at the practice prior to the inspection and by speaking with patients in the practice.
Our key findings were:
- Patients spoke positively about the dental practice with several saying they received good treatment and were treated with dignity and respect.
- There were systems in place to record accidents, significant events and complaints, and where learning was identified this was shared with staff.
- There was a whistleblowing policy staff were aware of this and how to use it. All staff had access to the whistleblowing policy.
- Records showed there were sufficient numbers of suitably qualified staff to meet the needs of patients.
- The practice had the necessary equipment for staff to deal with medical emergencies, and staff had been trained how to use that equipment. This included oxygen and emergency medicines.
- The practice followed the relevant guidance from the Department of Health's: ‘Health Technical Memorandum 01-05 (HTM 01-05) for infection control.
- Dentists involved patients in discussions about the care and treatment on offer at the practice. Patient recall intervals were in line with National Institute for Health and Care Excellence (NICE) guidance.
Governance arrangements were in place for the smooth running of the practice, with regular audits of different aspects of the quality of the service.