Garston Lodge Dental Practice

We carried out this announced inspection on 3 March 2020 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 Care Quality Commission (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

Garston Lodge Dental Practice is in Garston, Watford and provides NHS and private treatment to adults and children.

The practice is located in a two storey building on a residential street. There is level access in to the premises and ground floor treatment rooms available for people who use wheelchairs and those with pushchairs. Free car parking is available on the streets surrounding the practice.

The dental team includes six dentists, three hygienists, four dental nurses and two trainee dental nurses. They are supported by a practice administrator, a clinical lead manager, three receptionists and a cleaner. The practice has five treatment rooms and a separate decontamination room.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

On the day of inspection, we received feedback from 77 patients.

During the inspection we spoke with two dentists, one hygienist, one nurse, the practice administrator and the clinical lead manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday from 9am to 7.30pm.

Tuesday from 8am to 4.30pm.

Wednesday and Thursday from 9am to 5.45pm.

Friday from 8am to 4pm.

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 was 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 supported 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. Staff spoke openly about how much they enjoyed working at the practice.
• The provider asked staff and patients for feedback about the services they provided.
• The provider had suitable information governance arrangements.