Updated 8 October 2019
We carried out this announced inspection on 24 September 2019 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 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
65 Rodney Street is located in central Liverpool and provides private dental treatment to adults and children.
There is level no access for people who use wheelchairs and those with pushchairs. There is on- street pay and display car parking outside the practice, where the waiting time is limited to two hours. There are other multi-storey pay and display car parks nearby.
The dental team includes two dentists, a dental hygienist, three dental nurses, and a treatment co-ordinator. The practice also has visiting clinicians, including an endodontic dentist, an implant dentist, a periodontist and a dental hygiene therapist. The practice has three dental treatment rooms and a therapy room used for non-dental work.
The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at 65 Rodney Street is the Principal Dentist.
On the day of inspection, we collected 14 CQC comment cards filled in by patients.
During the inspection we spoke with two dentists, two dental nurses, and the treatment co-ordinator. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open Monday to Friday from 8.30am to 5.30pm and on Saturday mornings by appointment.
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 were 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.
- The provider asked staff and patients for feedback about the services they provided.
- The provider dealt with complaints positively and efficiently.
- The provider had suitable information governance arrangements.
There were areas where the provider could make improvements. They should:
- Improve the practice's systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities. In particular, oversight and quality assurance of the processing of dental instruments by visiting clinicians and their nurses.