We carried out this announced inspection on 12 December 2017 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.

We told the NHS England area team that we were inspecting the practice. We did not receive any information of concern.

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

Camden Place Dental Practice Limited is based in the city centre of Preston and provides private treatment for adults and children.

There is provision for level access for people who use wheelchairs and pushchairs. Car parking spaces and public transport facilities are available near the practice.

The dental team includes two dentists, one dental hygienist, three dental nurses and the practice manager.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 registered manager was the principal dentist.

On the day of inspection we collected 14 CQC comment cards filled in by patients. This information gave us a very positive view of the practice.

During the inspection we spoke with the two dentists, two dental nurses, one dental hygienist 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 to Thursday 8.30am to 5pm. Friday 8.30am to 4pm.

Our key findings were:

• The practice was clean and well maintained.
• The practice had infection control procedures which reflected published guidance.
• Staff knew how to deal with emergencies.Emergency equipment and medicines were available as described in recognised guidance. We noted emergency oxygen was not checked effectively.
• The practice had systems to help them manage risk.
• The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
• The practice had a recruitment policy in place; this had not always been adhered to.
• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Staff treated patients with dignity and respect.
• Staff took care to protect patient privacy and confidentiality.
• The appointment system was flexible and met patients’ needs.
• The practice had effective leadership. Staff felt involved and supported and worked well as a team.
• The practice asked staff and patients for feedback about the services they provided.
• The practice dealt with complaints positively and efficiently.

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

• Review the practice's recruitment policy and procedures to ensure accurate, complete and detailed records are maintained for all staff.
• Review the medical emergency equipment to ensure that it works effectively.

People told us they were very satisfied with the care and treatment provided at Camden Place Dental Practice. They had been involved in their treatment plan and had discussed their options before their treatment started.

We were also told that the environment was clean and tidy. One person told us, "Everything looks very modern and clean, very impressive in fact". Correct practices for the decontamination and sterilisation processes were undertaken in line with the expectation of the Department of Health.

Recruitment process were in place that ensured staff were appropriately qualified to provide a safe and effective service.

Suitable systems were in place to monitor the quality of the service being provided including an effective complaints policy and process.