Background to this inspection
Updated
11 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 the 15 June 2016 and was undertaken 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 the dentists, dental nurses, the practice manager, reception staff, reviewing documents, completed patient feedback forms and observations. We received feedback from 39 patients.
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.
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
11 July 2016
We carried out an announced comprehensive inspection on 15 June 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
Park Lane Dental is a dental surgery located in Croydon and provides a mixture of NHS and private dental services. The demographics of the local area were mixed and the practice served patients from a range of social, economic and ethnic backgrounds.
The practice staffing consists of seven dentists (including five associates), four dental nurses, three receptionists, two hygienists and reception and administration staff.
The practice is open from 9.00am to 5.30pm Monday to Fridays. The practice is set out over two floors with four surgeries. There is step free access to the building. There is no lift to the first floor however patients with mobility issues are accommodated in one of the ground floor surgeries. There is a wheelchair accessible toilet. Other facilities include staff rooms/ kitchen, X-ray room, stock room, decontamination room and reception area.
One of the partners 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 dental specialist advisor.
We received feedback from 18 patients. Patient feedback was very positive about the service. They were also complimentary about the staff stating they were polite and courteous and provided a customer focussed service. Patients stated that the premises were always clean and tidy when they attended.
Our key findings were:
- Systems were in place for the provider to receive safety alerts from external organisations and they were shared appropriately with staff.
- Processes were in place for staff to learn from incidents and lessons learnt were discussed amongst staff.
- There were systems in place to reduce the risk and spread of infection. Dental instruments were decontaminated suitably.
- 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.
- There was appropriate equipment for staff to undertake their duties, and equipment was well maintained.
- Staff had access to an automated external defibrillator (AED) and medical oxygen although not all staff had received recent training.
- There were policies and procedures in place to staff to follow relating to safeguarding patients from abuse.
- All clinical staff were up to date with their continuing professional development.
- The practice was carrying out risk assessments regularly.
There were areas where the provider could make improvements and should:
- Review availability of staff training to manage medical emergencies giving due regard to guidelines issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team.
- Review the practice’s safeguarding policy and staffs training ensuring it covers both children and adults and all staff are trained to an appropriate level for their role and are aware of their responsibilities.
- Review the current Legionella risk assessment and implement the required actions taking into account 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 training, learning and development needs of individual staff members and have an effective process established for the on-going assessment and supervision of all staff.
- 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 its current audit protocols to ensure audits of key aspects of service delivery are undertaken at regular intervals and where applicable learning points are documented and shared with all relevant staff.