Archived: Heybridge Dental Practice

Updated 10 March 2016

This announced inspection was carried out on 29 January 2016 by an inspector from the Care Quality Commission (CQC) and a specialist dental advisor.

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.

Prior to the inspection we reviewed information we held about the provider. This included information from NHS England and notifications which we had received.

During the inspection we viewed the premises, spoke with dentists, dental nurses and receptionists. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

We also reviewed information we asked the provider to send us in advance of the inspection. This included their latest statement of purpose describing their values and objectives and a record of any complaints received in the last 12 months.

We obtained the views of 24 patients who had completed CQC comment cards and we spoke with eight patients who used the service on the day of our inspection.

Updated 10 March 2016

We carried out an announced comprehensive inspection on 29 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

The practice is situated in the village of Heybridge with car parking nearby. Access to the practice is by stairs as it is situated on a first floor level above commercial premises.

The services provided include preventative dental advice and treatment, routine restorative care and an option to add some private treatments for example tooth whitening. The practice has three treatment rooms and a spacious waiting area. The practice is open Monday to Friday 8.30am to 5pm.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.

The practice has three dentists (principal, associate and foundation) working a variety of clinical sessions over a week. A dental hygienist and qualified dental nurses complete the clinical team. They were supported by two receptionists

The practice is a training practice for the Dental Foundation Training (DFT) scheme. DFT provides postgraduate dental education for newly qualified dentists in their first (foundation) year of practice; usually within general dental practices. One of the principal dentists (also the registered manager) is a trainer for the DFT scheme and provides clinical and educational supervision. The practice currently has one dentist who is in their first (foundation) year of practice.

Twenty four patients provided feedback about the practice. All the feedback we received from patients was positive, including access to appointments, their care and treatment and all made complimentary remarks about their overall experience of the practice.

Our key findings were:

• There were effective systems in place to reduce the risk and spread of infection.
• There were systems in place to check all equipment had been serviced regularly.
• Staff had received safeguarding and whistleblowing training and knew the processes to follow to raise any concerns.
• Patients’ care and treatment was planned and delivered in line with evidence based guidelines, good practice and current legislation.
• The practice ensured staff maintained the necessary skills and competence to support the needs of patients.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Staff had been trained to handle emergencies, and appropriate medicines and life-saving equipment were readily available.
• 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.
• The appointment system met the needs of patients and waiting times were kept to a minimum.
• There was an effective complaints system and the practice was open and transparent with patients if a mistake had been made.
• Where mistakes had been made patients were notified about the outcome of any investigation and given a suitable apology.
• The practice was well-led and staff felt involved and worked as a team.
• Governance systems were effective and there was a range of clinical and non-clinical audits to monitor the quality of services.
• The practice sought feedback from staff and patients about the services they provided.

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

• Review the practice’s infection control procedures and protocols giving due regard to 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.
• Review the practice's recruitment policy and procedures to ensure character references for new staff as well as proof of identification are requested and recorded suitably.
• Review how the practice would engage with people who may have hearing difficulties.