Archived: Gossops Drive Dental Practice

Updated 29 July 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.

The inspection took place on 16 January and was conducted by a CQC inspector and two dental specialist advisors.

We informed NHS England area team and Healthwatch that we were inspecting the practice on 29 October 2015; we did receive some information of concern from them with regard to poor infection control and maintenance of the premises and equipment.

During the inspection we spoke with one dentist, one dental nurse, the receptionist and the practice manager. We spoke with six patients who were all complimentary about the services they had received.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 29 July 2016

We carried out an announced comprehensive inspection on 13 January 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

Gossops Drive Dental Practice provides predominately NHS dental services with private treatment options available for patients. The premises consist of a waiting area adjacent to the two treatment rooms and a reception area. There is also a separate decontamination room.

The staff at the practice consist of the practice owner (principal dentist), an associate dentist, a dental nurse, a receptionist and a practice manager.

The principal dentist is 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.

We reviewed 14 Care Quality Commission (CQC) comment cards completed by patients and all were positive regarding the treatment and care they had received at Gossops Drive Dental Practice. We also reviewed feedback from patients who had completed the ‘Friends and Family Test’ comment cards and found that the feedback was also positive.

Our key findings were:

• Staff reported incidents and kept records of these to enable the practice to learn and improve.
• The practice was generally clean but there were areas that needed improvement.
• The equipment had been maintained to a sufficient standard but records of checks and maintenance were not available for some pieces of equipment. These were provided to us following our inspection.
• Mandatory training had lapsed for medical emergencies. But arranged and completed shortly after our inspection
• Staff files were incomplete and appropriate checks had not been carried out before the appointment of new staff. However we received these following our inspection.
• Patients’ needs were assessed and care was planned and delivered in line with current best practice guidance from the National Institute for Health and Care Excellence (NICE) and other published guidance.
• The practice had effective safeguarding processes and staff understood their responsibilities for safeguarding adults and children living in vulnerable circumstances.
• The practice took into account any comments, concerns or complaints.
• Patients were pleased with the care and treatment they received and complimentary about the dentists and all other members of the practice team.