The Wrekenton Dental Practice

Updated 6 July 2016

The inspection was carried out on 23 February 2016 and was led by a CQC inspector. The inspection team also included a dental specialist advisor.

The methods used to collect information at the inspection included interviewing staff, observations and reviewing documents.

During the inspection we spoke with two dentists, two dental nurses, one trainee dental nurse and the receptionist/practice manager. We reviewed policies, procedures and other records relating to the management of the service. We reviewed five completed Care Quality Commission comment cards.

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 July 2016

We carried out an announced comprehensive inspection on 23 February 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 Wrekenton Dental Practice is owned and run by Dr. Benedict Liversidge and Dr. Jill Canty. They are both independently registered with the Care Quality Commission and as such there are two reports for the practice. They each have their own patients and surgery. They share staff and the facilities which include a decontamination area and a reception and waiting room. The practice offers primary care dentistry under the NHS, and private dental care.

The practice is open Monday to Thursday 8.30am to 5.30pm and Friday 8.30am to 4pm.

There are two dentists, two dental nurses, one trainee dental nurse, a receptionist/practice manager.

Dr. Benedict Liversidge is a registered provider for the practice. Registered providers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

We spoke with the dentists, two dental nurses, one trainee dental nurse and the receptionist/practice manager.

On the day of inspection we received five CQC comment cards providing 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 found the staff to be welcoming and professional.

Our key findings were:

• There was an effective complaints system.
• Staff had received safeguarding training, 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.
• Staff had been trained to manage medical emergencies.
• Infection control procedures were in accordance with the published guidelines.
• Patient care and treatment was planned and delivered in line with evidence based guidelines and current regulations.
• 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.
• Patients could access routine treatment and urgent care when required.
• The practice was well-led, staff felt involved and supported and worked well as a team.
• The governance systems were effective.
• The practice sought feedback from staff and patients about the services they provided in order to make improvements where needed.

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

• Review availability of equipment to manage medical emergencies giving due regard to guidelines issued by the Resuscitation Council (UK).

• Review the storage of dental care materials and medicines requiring refrigeration to ensure they are stored in line with the manufacturer’s guidance and the fridge temperature is monitored and recorded.

• Review the practice’s protocols for justifying the taking of X-rays giving due regard to the Faculty of General Dental Practice (FGDP) guidance on the “Selection Criteria for Dental Radiography”.

• 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.