Oralcare

We carried out this announced comprehensive inspection on 17 October 2023 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 practice 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 advisor.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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:

• The dental clinic appeared clean and well-maintained.
• The practice had infection control procedures which reflected published guidance.
• Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were generally available.
• The practice had some systems to manage risks for patients, staff, equipment and the premises. Improvements were needed to ensure all actions arising from risk assessments had been completed.
• Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The practice had staff recruitment procedures which generally reflected current legislation.
• Clinical staff provided patients’ care and treatment in line with current guidelines.
• Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
• Staff provided preventive care and supported patients to ensure better oral health.
• The appointment system worked efficiently to respond to patients’ needs.
• The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
• There was effective leadership and a culture of continuous improvement.
• Staff worked together as a team.
• Patients were asked for feedback about the services provided, but staff views were not sought.
• Complaints were dealt with positively and efficiently.
• The practice had information governance arrangements.

Background

Oralcare is in Peterborough and provides private dental care and treatment for adults and children.

There is step free access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 1 principal dentist, 1 dentist, 2 dental nurses, 2 dental hygienists, 1 of whom is also a therapist and 2 receptionists, 1 of whom is also the practice administrator. The practice has 3 treatment rooms.

During the inspection we spoke with the principal dentist, 1 dentist, 1 dental nurse, 1 dental hygienist and 2 receptionists. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday 10.00 - 18.30

Tuesday 08:30 - 17.30

Wednesday 08.30 -17.00

Thursday 10.00 -19.30

Friday 08.30 -14.00

There were areas where the provider could make improvements. They should:

• Take action to implement any recommendations in the practice's fire safety risk assessment and ensure ongoing fire safety management is effective.
• Improve the practice's protocols for medicines management and ensure all medicines are stored and dispensed of safely and securely.
• Implement protocols for the use of closed circuit television cameras taking into account the guidelines published by the Information Commissioner's Office.
• Improve the practice's systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities. In particular the risk from lone working.