Cleethorpes Dental Practice Limited Also known as Osman Dental Practice Cleethorpes

Updated 4 February 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.

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

We informed local NHS England area team and Healthwatch North East Lincolnshire that we were inspecting the practice; however we did not receive any information of concern from them.

During the inspection we reviewed feedback from 35 patients, spoke with two dentists, two dental nurses and the receptionist/PA. 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 4 February 2016

We carried out an announced comprehensive inspection on 27 November 2015 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

Cleethorpes Dental Practice Limited is situated in Cleethorpes, North East Lincolnshire. It offers mainly NHS treatment to patients of all ages but also offers private dental treatments. The services include preventative advice and treatment, routine restorative dental care and dental implants.

The practice has three surgeries, a decontamination room, one waiting area and a reception area. The reception area, waiting area and one treatment room are on the ground floor. The other two treatment rooms are on the first floor.

There are three dentists, a dental hygienist, three dental nurses and a receptionist who also works as a personal assistant (PA) for the practice owner.

The opening hours are Monday to Friday 9-00am to 5-00pm.

The practice owner 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.

On the day of inspection 35 patients provided feedback. The patients were positive about the care and treatment they received at the practice. They told us they were treated with dignity and respect in a clean and tidy environment, informed of treatment options, were able to make appointments in a timely manner and were made to feel comfortable and relaxed.

Our key findings were:

• The practice had some systems in place to assess and manage risks to patients and staff, including infection prevention and control, health and safety and the management of medical emergencies.
• Staff received training appropriate to their roles.
• Patients were involved in making decisions about their treatment and were given clear explanations about their proposed treatment including costs, benefits and risks.
• Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• We observed that patients were treated with kindness and respect by staff. Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood.
• Patients were able to make routine and emergency appointments when needed.
• The practice had a complaints system in place and there was an openness and transparency in how these were dealt with.

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

• Aim to document somewhere in the dental care records when a patients’ medical history has been checked.
• Aim to follow the Faculty of General Dental Practice (FGDP) guidelines with regards to the taking of X-rays.
• Aim to organise more regular (formal) staff meetings.
• Aim to document when the COSHH folder is reviewed.
• Aim to get a new Legionella risk assessment carried out.
• Aim to make alterations to the ground floor toilet to make it more disabled friendly.