40 Harley Street

Updated 14 January 2016

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.

We carried out an announced comprehensive inspection on 30 November 2015. The inspection was led by a CQC inspector. They were accompanied by a specialist advisor.

We received 7 CQC completed by patients and spoke with five patients. We also spoke with six members of staff. We reviewed the policies, toured the premises and examined the cleaning and decontamination of dental equipment.

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?

Updated 14 January 2016

We carried out an announced comprehensive inspection on 30 November 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 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

40 Harley St is located in the London Borough of Westminster and provides private dental services. The demographics of the practice is mixture of older people and professionals who work in the local area.

The staff structure of the practice comprised one dentist, one hygienist and a trainee dental nurse.

Facilities within the practice include a treatment room, a dedicated decontamination room and a waiting area.

The principal dentist was 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 Care Quality Commission (CQC) comment cards to the practice for patients to complete to tell us about their experience of the practice. We received 7 completed cards and spoke with three patients on the day of the inspection .The feedback we received for patients gave a positive view of the services the practice provides. All of the patients commented that the quality of care was good.

We carried out an announced comprehensive inspection on 30 November 2015 as part of our planned inspection of all dental practices. The inspection took place over one day and was carried out by a lead inspector and a specialist adviser.

Our key findings were:

• There were effective processes in place to reduce and minimise the risk and spread of infection.
• Patients’ needs were assessed and care was planned in line with best practice guidance such as from the National Institute for Health and Care Excellence (NICE).
• Patients were involved in their care and treatment planning.
• There was appropriate equipment for staff to undertake their duties and equipment was well maintained.
• Patients told us that staff were caring and treated them with dignity and respect.
• There were processes in place for patients to give their comments and feedback about the service including making complaints and compliments.

Governance arrangements were in place and there was a clear vision for the smooth running of the practice.