Updated 28 April 2023
We carried out this announced comprehensive inspection on 18 April 2023 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.
We planned the inspection to check whether the registered practice was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a specialist dental advisor.
To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 questions:
- Is it safe?
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
These questions form the framework for the areas we look at during the inspection.
Our findings were:
- The dental clinic appeared clean and well-maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to manage risks for patients, staff, equipment and the premises.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which reflected current legislation.
- Clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- The appointment system worked efficiently to respond to patients’ needs.
- The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
- There was effective leadership and a culture of continuous improvement.
- Staff felt involved, supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
- Complaints were dealt with positively and efficiently.
- The practice had information governance arrangements.
Background
Walton Road Dental Practice is in Stockton Heath, Warrington, Cheshire and provides NHS and private dental care and treatment for adults and children.
There is step free access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice. The practice has made reasonable adjustments to support patients with access requirements; renovation works are currently being undertaken at the practice. When work is finished, there will be step free access to the ground floor surgeries, which will be accessible to those patients with reduced mobility.
The dental team includes 6 dentists, 6 dental nurses, 2 of whom are trainees, 1 dental hygienist, 2 receptionists and a dental nurse who is also the practice manager. The practice has 4 treatment rooms, with a further treatment room under construction which will be ready for use by September 2023.
During the inspection we spoke with 3 dentists, 2 dental nurses, 1 of whom is also the practice manager, and the dental hygienist. We also spoke to the 2 receptionists. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open: Monday 9am to 5pm, with alternate Mondays offering extended hours until 6pm; Tuesday 8.30am to 4.30pm; Wednesday and Thursday from 9am to 5pm; and on Friday from 8.30am to 2pm.