Background to this inspection
Updated
3 March 2016
The inspection was carried out on 2 February 2016 and was led by a CQC inspector. The inspection team also included a dentist specialist advisor.
The methods that were used to collect information at the inspection included interviewing staff, observations and reviewing documents.
During the inspection we spoke with a dentist, dental nurse, decontamination worker, receptionist/practice manger and the registered manager. We reviewed policies, procedures, and other records relating to the management of the service. We reviewed 12 completed Care Quality Commission comment cards.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
These questions therefore formed the framework for the areas we looked at during the inspection.
Updated
3 March 2016
We carried out an announced comprehensive inspection on 2 February 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
The practice is owned Mr Shiv Pabary.
The practice offers primary care dentistry under the NHS and
, private treatments and procedures. The practice offers its services from a purpose built building. The surgeries and facilities are located on the first floor of the building and accessible via stairs and a lift. There are two surgeries, decontamination rooms and a combined reception and waiting area, offices and staff facilities.
The practice is open Monday and Thursday 8am to 5.30pm, Tuesday 8am to 7.30pm, Wednesday 8am to 6pm and Friday 7.30am to 2pm.
There are two dentists, a dental nurse, a dental therapist, a decontamination operative, a receptionist / practice manager and a registered manager.
Mr Shiv Pabary is the registered provider for the practice. The practice also has a registered manager. Registered provider and manager 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 spoke with a dentist, a dental nurse, a decontamination worker, a receptionist/practice manger and the
registered manager.
We received feedback from patients about the service via 12 Care Quality Commission comment cards. All the comments were positive about the staff and the services provided. Comments included: excellent, staff very polite and helpful, friendly and professional,
and patients felt listened to.
Our key findings were:
- There was an effective complaints system.
- Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it.
- There were sufficient numbers of suitably qualified staff to meet the needs of patients.
- Staff had been trained to manage medical emergencies.
- Infection control procedures were in accordance with the published guidelines.
- Patient care and treatment was planned and delivered in line with evidence based guidelines and current regulations.
- Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
- Patients were treated with dignity and respect and confidentiality was maintained.
- Patients could access routine treatment and urgent care when required.
- The practice was well-led, staff felt involved and supported and worked well as a team.
- The governance systems were effective.
- The practice sought feedback from staff and patients about the services they provided.