Dental Solution

Updated 6 June 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 22 April 2016 and was led by a CQC inspector and a dental specialist adviser. Prior to the inspection we reviewed information submitted by the provider and information available on the provider’s website.

The methods used to carry out this inspection included speaking with a dentist, dental nurses and the receptionist, reviewing documents, completed patient feedback forms and observations. We received feedback from 45 patients via completed Care Quality Commission comments cards and speaking with patients on the day of the inspection.

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 6 June 2016

We carried out an announced comprehensive inspection on 22 April 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

Dental Solution is located in the London Borough of Croydon and provides predominantly NHS dental services. The demographics of the practice were generally mixed, serving patients from a range of social and ethnic backgrounds including from the local Polish community.

The practice staffing consists of three dentists, three dental nurses and a receptionist.

The practice is open from 9.00am to 5.00pm on Monday to Fridays and 9.00 to 2.00pm on Saturdays. The practice is located on the first floor of the building and there is a lift for patients with mobility problems. The facilities include three consultation rooms, a reception area, patient waiting room, decontamination room, staff room/kitchen. The premises were wheelchair accessible including a wheelchair accessible toilet for patients.

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 inspection took place over one day and was carried out by a CQC inspector and a dentist specialist advisor.

We received 44 completed Care Quality Commission comment cards. Patient feedback was very positive about the service. Patients told us that staff were professional and caring and treated them with respect. They gave examples of where staff had shown empathy and were friendly. Patients also commented on the good availability of appointments and the practices’ willingness to accommodate urgent appointments. They commented that the premises was always clean and tidy and they described the service as very good and providing an excellent standard of care.

Our key findings were:

• Appropriate systems were in place to safeguard patients from abuse
• The provider had emergency medicines and equipment such as oxygen and an automated external defibrillator (AED) in line with national guidance.
• There was appropriate equipment for staff to undertake their duties, and equipment was well maintained.
• All clinical staff were up to date with their continuing professional development.
• Patients’ needs were assessed and care was planned in line with current guidance.
• Patients were involved in their care and treatment planning so they could make informed decisions.
• Governance arrangements were in place for the smooth running of the practice. Leadership was clear and audits were completed for continuous improvements.

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

• Review staff awareness of the requirements of the Mental Capacity Act (MCA) 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.
• Review the practice's protocols for completion of dental records giving due regard to guidance provided by the Faculty of General Dental Practice regarding clinical examinations and record keeping.
• Review the practice’s audit protocols of various aspects of the service, such as radiography and dental care records and infection control at regular intervals to help improve the quality of service. Practice should also check that where applicable audits have documented learning points and the resulting improvements can be demonstrated.