Updated 23 October 2019
We carried out this announced inspection on 26 September 2019 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 provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
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 form the framework for the areas we look at during the inspection.
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
Parkfield Dental Practice is in Didsbury, Manchester and provides private and a small amount of NHS treatment to adults and children.
There is level access for people who use wheelchairs and those with pushchairs. There are two parking spaces directly outside the practice with additional on street parking near the practice.
The dental team includes four dentists, four dental nurses (one of which is a trainee), three dental hygienists, three receptionists and a practice manager. The practice has three treatment rooms.
The practice is owned by an individual who is the principal dentist there. They 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, we collected 36 CQC comment cards filled in by patients. These provided a positive view of the dental team and care provided by the practice.
During the inspection we spoke with the principal dentist, three dental nurses, a dental hygienist, the receptionists and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday: 9am-7pm
Tuesday: 9am-5.30pm
Wednesday: 8am-5pm
Thursday: 8am-4.30pm
Friday: 9am-3.30pm
Our key findings were:
- The practice appeared clean, tidy and well maintained.
- The provider had infection control procedures which reflected published guidance.
- Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
- The provider had systems to help them manage risk to patients and staff.
- The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The provider had thorough staff recruitment procedures. Improvements could be made to the evidence sought for agency staff.
- Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
- Staff provided preventive care and supporting patients to ensure better oral health.
- The appointment system took account of patients’ needs.
- The provider had effective leadership and culture of continuous improvement.
- Staff felt involved and supported and worked well as a team.
- The provider asked staff and patients for feedback about the services they provided.
- The provider dealt with complaints positively and efficiently.
- The provider had suitable information governance arrangements.
There were areas where the provider could make improvements. They should:
- Take action to ensure the clinicians take into account the guidance provided by the Faculty of General Dental Practice for prescribing of antibiotic medicines.
- Implement an effective recruitment procedure to ensure that appropriate checks are completed prior to new staff commencing employment at the practice. In particular, immunity for vaccine preventable infectious diseases and checks for agency staff.
- Improve and develop staff awareness of Gillick competency and ensure all staff are aware of their responsibilities in relation to this.