Background to this inspection
Updated
15 November 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.
We carried out an announced, comprehensive inspection on 4 October 2016. The inspection team consisted of a Care Quality Commission (CQC) inspector and a dental specialist advisor.
Before the inspection we asked the provider for information to be sent this included the complaints the practice had received in the last 12 months; their latest statement of purpose; the details of the staff members, their qualifications and proof of registration with their professional bodies. We spoke with members of staff and patients during 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
15 November 2016
We carried out an announced comprehensive inspection on 4 October 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
Oasis Dental Care Central - Northampton 2 is a large dental practice in the centre of Northampton. It offers three distinct services to adults and children.
Firstly a general dental service which provides treatment either funded by the NHS or privately. This service sees patients for their ongoing oral needs and registers patients in this regard.
Secondly the practice offers and emergency NHS service from 8 am to 8 pm seven days a week, every day of the year. This is not a drop in service but can be accessed by calling the NHS 111 emergency telephone number. Patients are seen only as an emergency and would return to see their own dentist afterwards.
Thirdly the practice accepts referrals for minor oral surgery (MOS). Patients are referred for tooth extractions and other minor oral surgical procedures under local anaesthetic (with the patient awake).
The practice offers treatment under conscious sedation (these are techniques in which the use of a drug or drugs produces a state of depression of the central nervous system enabling treatment to be carried out, but during which verbal contact with the patient is maintained throughout the period of sedation) for nervous patients. The practice also offers dental implants, where a metal post or posts are placed surgically into the jaw bone and are used to support a single tooth, or multiple teeth.
The practice is staffed by seven dentists, an oral surgeon and two dental hygienists, supported by a head dental nurse, eight qualified dental nurses, three minor oral surgery nurses and four trainee dental nurses. Administration staff are a practice manager, a minor oral surgery manager, a practice co-ordinator, two administrators and three receptionists.
The practice is wheelchair accessible via the rear entrance of the building from the car park.
The practice manager 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.
Feedback about the service was obtained by speaking to patients that visited the practice on the day of our visit, and by comment cards that were left on the premises for the two weeks preceding our visit. Three patients provided feedback.
Our key findings were:
- The practice was visibly clean and clutter free.
- The practice met the national guidance in infection control standards.
- Patients reported that staff explained options to them, and dental care records detailed these discussions.
- Clinicians used nationally recognised guidance in the care and treatment of patients.
- There was appropriate equipment for staff to undertake their duties and equipment was well maintained.
- The practice carried medicines and equipment for use in a medical emergency in line with national guidance.
There were areas where the provider could make improvements and should:
- Review the practice’s system for the recording, investigating and reviewing incidents or significant events with a view to preventing further occurrences and, ensuring that improvements are made as a result.
- Review the practice's recruitment policy and procedures to ensure character references for new staff are requested and recorded suitably.
- Review the labelling of medicines that are dispensed giving due regard to schedule 26 of the Human Medicines Regulations 2012.
- Review the use of rectangular collimators on X-ray machines to further reduce the radiation dose to patients.
- Review the practice’s audit protocols of various aspects of the service, such as infection control to ensure they are completed at the appropriate intervals to help improve the quality of service. Practice should also check all audits have documented learning points and the resulting improvements can be demonstrated.