Gargrave Road Dental Practice

Updated 11 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 with remote advice from 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, a dental hygienist and two 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 11 April 2017

We carried out an announced comprehensive inspection on 6 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

Gargrave Road Dental Practice is located near the centre of Skipton in North Yorkshire and provides private treatment to adults and children. They offer restorative dentistry, dental implants, orthodontics and cosmetic treatments.

Wheelchair users or pushchairs can access the practice through a ramp access at the rear of the building. Car parking is available near the practice.

The dental team is comprised of a dentist, four dental nurses (one of whom is a trainee), two dental hygienists, and a cleaner.

The practice accommodates three surgeries, a waiting area and reception, and a staff room/kitchen.

On the day of inspection we received 31 CQC comment cards providing positive feedback. The patients were complimentary about the care they received at the practice. They told us they found the staff caring and compassionate.

The practice is open: Monday, Tuesday, and Friday 9am-5pm and Wednesday 8:30am-4pm.

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

Our key findings were:

• The practice appeared clean and well maintained.
• Infection control procedures were robust and the practice followed published guidance.
• 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.
• 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 service was aware of the needs of the local population and took these into account in how the practice was run
• 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.
• Patients received information about their care, proposed treatment, costs, benefits, and risks and were involved in making decisions about it.
• Recruitment needed to be brought in line with the recruitment procedure.
• Staff kept up to date with the professional training but we noted that staff appraisals were not in place.

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

• Review the protocol for completing accurate, complete and detailed records relating to employment of staff. This includes making appropriate notes of verbal references taken and ensuring recruitment checks, including references, are suitably obtained and recorded.

• Review the learning and development needs of individual staff members and have an effective process established for the on-going assessment and appraisal of all staff.