Improve Your Smile Limited

Updated 7 September 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 took place on the 8 August 2016 and was undertaken by a CQC inspector and a dental specialist advisor. Prior to the inspection we reviewed information submitted by the provider.

The methods used to carry out this inspection included speaking with the principal dentist, two associate dentists, one hygienist, two dental nurses and the practice manager on the day of the inspection, reviewing documents, completed patient feedback forms and observations.

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 7 September 2016

We carried out an announced comprehensive inspection on 8 August 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

Woodford House Dental Practice located in Woodford Green provides NHS and private dental treatment to patients of all ages.

Practice staffing consists of the principal dentist, two associate dentists, three hygienist, three dental nurses, two receptionists, clerical assistant and the practice manager.

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

The practice is open Monday 9am to 7pm, Tuesday 9am to 6pm, Wednesday 9.30am to 7.30pm, Thursday 9am to 6pm, Friday 8.30am to 4pm and every other Saturday 9am to

The practice facilities include five treatment rooms, reception area/ waiting areas, decontamination room, one office/consultation room and a staff room/kitchen.

We reviewed 85 CQC comment cards, the practice patient satisfaction survey and the NHS Friends and Family test comment cards. Patients were positive about the service. They were complimentary about the friendly and caring attitude of the staff.

Our key findings were:

• Patients were involved in their care and treatment planning so they could make informed decisions.

• There were effective processes in place to reduce and minimise the risk and spread of infection.

• Patients’ needs were assessed and care was planned in line with current guidance such as from the National Institute for Health and Care Excellence (NICE).

• We found the dentists regularly assessed each patient’s gum health and took X-rays at appropriate intervals.
• Equipment, such as the autoclaves, fire extinguishers, and X-ray equipment had all been checked for effectiveness and had been regularly serviced.
• The practice had whistleblowing policies and procedure and staff were aware of these and their responsibilities to report any concerns.

• Patients were treated with dignity and respect and confidentiality was maintained.

• The practice had a procedure for handling and responding to complaints, which were displayed and available to patients.

• Governance systems were effective and there were a range of policies and procedures in place which underpinned the management of the practice.

• Patients had good access to appointments, including emergency appointments, which were available on the same day.
• The practice sought feedback from staff and patients about the services they provided and acted on this to improve its services.
• The practice had ensured that appropriate medicines, in line with British National Formulary and Resuscitation Council (UK) guidance, were available to respond to a medical emergency.

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

• Review its audit protocols to ensure audits of various aspects of the service, such as dental care records are undertaken at regular intervals to help improve the quality of service. Practice should also ensure that where appropriate audits have documented learning points and the resulting improvements can be demonstrated.