Liss Dental Practice

Updated 20 April 2017

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.

The inspection took place on 21 February 2017 and was led by a CQC inspector supported by a specialist dental adviser.

Prior to the inspection, we asked the practice to send us some information that we reviewed. This included the complaints they had received in the last 12 months, their latest statement of purpose, and the details of their staff members including proof of registration with their professional bodies.

During the inspection, we spoke with dentists, the practice manager, dental nurses and reception staff and reviewed policies, procedures and other documents.

We reviewed 18 comment cards that we had left prior to the inspection, for patients to complete, about the services provided at the practice.

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 20 April 2017

We carried out an announced comprehensive inspection on 21 February 2017 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

Liss Dental Practice is a dental practice providing general dental care for both adults and children under private arrangements. The practice is situated on the first floor of a converted commercial property in Liss, a town situated in Hampshire.

The practice has two dental treatment rooms on the first floor of the premises and a separate dedicated decontamination room.

The practice employs two dentists and two dental nurses, one of whom is a trainee dental nurse.

The practice’s opening hours are between 8.30am and 6.00pm on Monday and Wednesday and 8.30 am and 5.00pm Tuesday to Friday and Thursday 8.30am to 1pm.

There are arrangements in place to ensure patients receive urgent medical assistance when the practice is closed.

One of the practice owners is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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

Before the inspection, we sent CQC comment cards to the practice for patients to complete to tell us about their experience of the practice. We received feedback from 18 patients. These provided a completely positive view of the services the practice provides. Patients commented on the high quality of care, the caring nature of all staff, the cleanliness of the practice and the overall high quality of customer care.

Our key findings were:

• We found that the practice ethos was to provide high quality general dental care in a relaxed and friendly environment.
• Effective clinical and management leadership was provided by the practice owners.
• Staff had been trained to handle emergencies, appropriate medicines and life-saving equipment were readily available in accordance with current guidelines.
• The practice appeared clean and well maintained.
• There was appropriate equipment for staff to undertake their duties, and equipment was well maintained.
• Infection control procedures were robust and the practice followed published guidance.
• The practice had effective processes in place for safeguarding adults and children living in vulnerable circumstances.
• There was a process in place for the reporting and shared learning of untoward incidents which occurred in the practice.
• Dentists provided dental care in accordance with current specialist professional and National Institute for Care Excellence (NICE) guidelines.
• The service was aware of the needs of the local population and took these into account in how the practice was run.
• Patients could access treatment and urgent and emergency care when required.
• Staff received training appropriate to their roles and were supported in their continued professional development (CPD) by the practice.
• Staff felt well supported by the practice owners and were committed to providing a high-quality service to their patients.
• Information from 18 completed CQC comment cards gave us a positive picture of a friendly, caring, professional and high quality service.

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

• Review the availability of a hearing loop for patients who are hearing aid users.
• Include details of The Ombudsman in the complaints policy.