Background to this inspection
Updated
6 December 2016
We carried out an announced, comprehensive inspection on 3rd November 2016. The inspection took place over one day.
The inspection was led by a CQC inspector. They were accompanied by a dental specialist advisor.
We reviewed information received from the provider prior to the inspection. We also informed the local Healthwatch and NHS England. NHS England provided some information but they raised no concerns about the service.
During our inspection visit, we reviewed policy documents and dental care records. We spoke with three members of staff and one dentist. We conducted a tour of the practice and looked at the storage arrangements for emergency medicines and equipment. We observed a dental nurse carrying out decontamination procedures of dental instruments and also observed staff interacting with patients in the waiting area.
Eleven patients provided feedback about the service. Patients, who completed comment cards, were positive about the care they received from the practice. They were complimentary about the friendly, helpful and caring attitude of the dental staff.
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
6 December 2016
We carried out an announced comprehensive inspection on 3rd November 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
Mydentist Calne is located in the centre of Calne and provides NHS and private treatment to patients of all ages. The practice consists of two treatment rooms, toilet facilities for patients and staff, a reception/ waiting area and a staff room.
The practice treats both adults and children. The practice offers routine examinations and treatment. There are two dentists and a hygienist.
The practice’s opening hours are
8.30 to 17.00 on Monday
8.00 to 17.30 on Tuesday
8.30 to 17.00 on Wednesday
8.00 to 18.00 on Thursday
8.30 to 17.30 on Friday
We carried out an announced, comprehensive inspection on 3rd November 2016. The inspection took place over one day. The inspection was led by a CQC inspector. They were accompanied by a dental specialist advisor.
Before the inspection we looked at the NHS Choices website. In the previous year there had been four reviews about the practice ranging from 1 star to 5 stars. The organisation responded to all the comments and discussed the learning points with staff.
For this inspection 11 people provided feedback to us about the service. Patients were positive about the care they received from the practice. They were complimentary about the service offered which they said was excellent. They told us that staff were helpful, caring and friendly. Patients told us that the practice was safe, clean and hygienic. We received no negative comments.
Our key findings were:
• Safe systems and processes were in place, including a lead for safeguarding and infection control.
• Staff recruitment policies were appropriate and the relevant checks were completed. Staff received relevant training.
• The practice had ensured that risk assessments were in place and that they were regularly reviewed.
• The clinical equipment in the practice was appropriately maintained. The practice appeared visibly clean throughout.
•The process for decontamination of instruments followed relevant guidance.
• The practice maintained appropriate dental care records and patients’ clinical details were updated suitably.
• Patients were provided with health promotion advice to promote good oral care.
• Written consent was obtained for dental treatment.
• The dentist was aware of what process to follow when a person lacked capacity to give consent to treatment.
• All feedback that we received from patients was positive; they reported that it was a caring and effective service.
• There were governance systems in place at the practice such as systems for auditing patient records, infection control and radiographs.
• The service sought feedback from patients and made changes in response to feedback and complaints.
There were areas where the provider could make improvements and should:
- Review the process for decontamination of instruments to reduce the risk of water spillage on to the floor.
- Provide a suitable sign on doors of rooms where oxygen is stored.
- Review the process for onward referral to other professionals to include offering a copy of the referral letter to the patient.