Menston Dental Practice

Updated 19 April 2017

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 registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We informed NHS England area team and Healthwatch that we were inspecting the practice; we received no information of concern from them.

During the inspection we spoke with the principal dentist and two trainee dental nurses. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

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 19 April 2017

We carried out an announced comprehensive inspection on 7 March 2017 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

Menston dental practice is located in the centre of Menston, West Yorkshire and provides private treatment for adults and children. They offer restorative dentistry, cosmetic, orthodontics and dental implants.

The practice cannot accommodate wheelchair users but has made reasonable adjustments to the premises with grab rails to the front door and ground floor level access throughout the practice. Car parking spaces are available outside the practice.

The dental team consists of the principal dentist, two dental nurses (both of whom are trainees), one dental therapist and a cleaner.

The practice has one surgery with integrated sterilisation area and a separate waiting area/ reception room.

On the day of inspection we received 16 CQC comment cards providing positive feedback. The patients who provided feedback were very positive about the care and attention to treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to be helpful, courteous and friendly.

The practice is open: Monday –Tuesday 9am-6:30pm and Wednesday-Friday 9am-5:30pm.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual registered person. 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

Our key findings were:

• The practice appeared clean and well maintained.
• Infection control procedures were robust and the practice followed published guidance, we noted that a surface in the treatment room was in need of repair and the sterilisation area was cluttered with non-essential items.
• Staff had been trained to handle medical emergencies and appropriate medicines and equipment were readily available in accordance with current guidelines.
• The practice had systems in place to manage risks.
• Staff understood and received safeguarding training and 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.
• Effective recruitment processes for staff were in place.
• Treatment was well planned and provided in line with current guidelines.
• Patients were treated with dignity and respect and confidentiality was maintained.
• The appointment system met patients’ needs.
• The practice was well-led and staff felt involved and supported and worked well as a team.
• The practice sought feedback from staff and patients about the services they provided.
• Complaints were responded to in an efficient and responsive manner, however patients were not well informed about the complaints process.
• Patients received information about their care, proposed treatment, costs, benefits, and risks and were involved in making decisions about it.

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. To review the layout of the surgery equipment and surface in need of repair.
• Review the provision of complaints information to patients.