Castle View Dental Practice

We carried out this announced focused inspection on 23 September 2022 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 adviser.

To get to the heart of patients’ experiences of care and treatment, we ask five key questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive?
• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

• The dental clinic was visibly 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 available.
• The practice had systems to help them manage risk to patients and staff.
• Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The practice had staff recruitment procedures which reflected current legislation.
• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Patients were treated with dignity and respect and staff 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.
• There was effective leadership and a culture of continuous improvement.
• Staff felt involved and supported and worked as a team.
• Staff and patients were asked for feedback about the services provided.
• Complaints were dealt with positively and efficiently.
• The dental clinic had information governance arrangements.

Background

Castle View Dental Practice is in Tiverton and provides NHS and/or private dental care and treatment for adults and children.

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

The dental team includes 6 dentists, 1 orthodontist, 1 foundation dentist, 14 dental nurses, 1 trainee dental nurse, 1 dental hygienist, 1 dental therapists, 2 treatment coordinators, 1 administrator, 3 receptionists and a practice manager. The practice has 6 treatment rooms.

During the inspection we spoke with 3 dentists, 1 dental nurse, 1 dental therapist, 1 administrator and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Friday 9.00am to 5.30pm

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

• Implement a system to ensure patient referrals to other dental or health care professionals are centrally monitored to ensure they are received in a timely manner and not lost.
• Take action to ensure ongoing fire safety management is effective.
• Take action to ensure that all clinical staff have adequate immunity for vaccine preventable infectious diseases.

The practice manager accepted the shortfalls that we raised and took immediate action on the day of our inspection to address these.