Mydentist - Oxford Road - Calne Also known as my dentist

We carried out an announced comprehensive inspection on 8th December 2015 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 not 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

8.30 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 8th December 2015. 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 five comments about the practice. Two comments were very positive, two comments were complaining about the costs and one was complaining about poor treatment. The organisation responded to all the comments and discussed the learning points with staff.

For this inspection 13 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 good. They told us that staff were professional, caring and friendly. Patients told us that the practice was 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 most of the relevant checks were completed. Staff received relevant training.

• The practice had not 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 did not follow relevant guidance.

• The practice did not maintain all appropriate dental care records and patients’ clinical details were not updated suitably.

• Patients were provided with health promotion advice to promote good oral care.

• Written consent was obtained for dental treatment.

• One of the dentists was not 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 not sufficient governance systems in place at the practice such as systems for auditing patient records.

We identified regulations that were not being met and the provider must:

Make sure they obtain satisfactory information about the conduct of prospective new staff in their previous employment in services relating to health or social care, or children or vulnerable adults.

You can see full details of the regulations not being met at the end of this report.

There were areas where the provider could make improvements and should:

• Review and where necessary update the COSHH assessments.

• Re-order the glucose injections and either keep the new supply in the fridge or adjust the expiry date in line with the directions.

• Make sure that staff follow relevant guidance when cleaning and sterilising instruments

• Make sure the dentists are trained about the Mental Capacity Act 2005 and understand how to put this into practice.

• Make sure all the necessary records are in place for each patient and keep these up to date.

• Conduct fire evacuations regularly, at least every six months.

• Obtain two written references when recruiting new staff.

• Provide training for staff about equality and diversity.

• Provide training for the dentists and staff about the Mental Capacity Act (MCA) and codes of practice so that they will know what to do if an adult lacks the capacity to make particular decisions for themselves.

• Keep a record of the training for the dentists in the practice.

• Review and update the policies.

• Develop effective systems for auditing of patient records.