Walton Dental Practice

Updated 16 December 2016

The inspection was carried out on 08 September 2016 by a CQC inspector and a dental specialist advisor. We reviewed information received from the provider prior to the inspection. On the day of our inspection we looked at practice’s policies and protocols, clinical patient records and other records relating to the management of the service. We spoke with the principal dentist (who was also the owner and provider) and two dental nurses that were working on the day of our visit.

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?

This informed our view of the care provided and the management of the practice.

Updated 16 December 2016

We carried out an announced comprehensive inspection on 08 September 2016 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

Walton Dental Practice is a general dental practice in Walton-on-the-Hill, Surrey, offering NHS and private dental treatment to adults and children. The premises consist of one dental treatment room,. a decontamination room, a reception and waiting area and a staff room. There is also one other treatment room but this is currently occupied by non-dental services.

The practice staffing consisted of a principal dentist (who was also the owner and provider), three dental nurses and a receptionist. The dental nurses and receptionist worked various part-time hours to accommodate flexible working depending on the need.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. 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.

We reviewed 23 Care Quality Commission (CQC) comment cards that had been completed by patients in the two weeks prior to our inspection. Patients felt they received very good care from the dentist and the team were kind and caring.

Our key findings were:

• The practice ensured staff maintained the necessary skills and competence to support the needs of patients.
• There were effective systems in place to reduce the risk and spread of infection. We found the treatment rooms and equipment were visibly clean.
• There were systems in place to check equipment had been serviced regularly, including the dental air compressor, autoclaves, fire extinguishers and the X-ray equipment.
• We found the dentists regularly assessed each patient’s gum health and dentists took X-rays at appropriate intervals.
• The practice kept up to date with current guidelines when considering the care and treatment needs of patients.
• Patients received clear explanations about their proposed treatment, and its costs, benefits and risks and were involved in making decisions about it.
• Patients were treated with dignity and respect and confidentiality was maintained.
• The appointment system met the needs of patients and waiting times were kept to a minimum.
• Staff demonstrated knowledge of the practice whistleblowing policy and were confident they would raise a concern about another staff member’s performance if it was necessary.
• There was an effective system in place to act on feedback received from patients and staff.

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

• Review the practice’s arrangements for receiving and responding to patient safety alerts, recalls and rapid response reports issued from the Medicines and Healthcare products Regulatory Agency (MHRA).
• Review availability of equipment to manage medical emergencies giving due regard to guidelines issued by the Resuscitation Council (UK).
• Review the current guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices and The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance giving due regard to the requirement for a legionella risk assessment
• Review the practice's recruitment policy and procedures to ensure staff complete the necessary checks for Fit and Proper Persons employed.