We carried out an announced comprehensive inspection on 6 December 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

J A Storey Dental Practice is located in Consibrough, Doncaster. The practice is situated on the first floor and offers mainly NHS dental treatment and private treatments. There is one treatment room, a decontamination room, a reception and waiting area, an office area with staff facilities and a communal toilet.

There is one full time dentist; a part time dental hygiene therapist one dental nurse, one receptionist and a practice cleaner.

There is a slight step at the front entrance to the practice which has been adjusted for ease of access. Handrails are positioned up the stairway to assist patients with impaired mobility. Parking is available outside the premises and in car parks nearby.

The practice is open between 9:00am and 5:30pm Monday to Thursday, 9:00am to 1:00pm Friday

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

On the day of inspection we received 35 CQC comment cards providing feedback. Patients who provided feedback were very positive about the care and attention to treatment they received at the practice. Comments included that patients felt they were involved in all aspects of their care and found the staff to be very pleasant and helpful, the practice had a happy environment; staff were friendly and communicated well. Patients commented they could access emergency care easily and they were treated with dignity and respect in a clean and tidy environment.

Our key findings were:

• The practice had 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.
• The practice was visibly clean and tidy.
• Staff had received safeguarding training, knew how to recognise signs of abuse and how to report it. They had systems in place to work closely and share information with the local safeguarding team.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Infection control procedures were in accordance with the published guidelines.
• Oral health advice and treatment were provided in line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• Treatment was well planned and provided in line with current guidelines.
• Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
• Patients were treated with dignity and respect and confidentiality was maintained.
• The appointment system met patients’ needs.
• The practice was well-led and staff felt involved and supported and worked well as a team.
• The governance systems were effective and embedded.
• The practice sought feedback from staff and patients about the services they provided.
• There were clearly defined leadership roles within the practice.

People were assessed and treatment was planned and delivered in line with their individual needs. We saw that treatment records outlined the different options available to people and what had been agreed. People told us their opinions were taken into account and they were given choices of different treatment options when appropriate

People’s needs were assessed and treatment was planned and delivered in line with their individual treatment plan. We saw that people’s records were completed fully and described their treatment appropriately. People told us they were satisfied with the care they received.

People were protected from infection as there were effective systems in place to reduce the risk and spread of infection. We saw that appropriate guidance had been followed. People told us they were treated in a clean environment and infection control precautions were taken.

We saw the provider and their staff had undertaken appropriate training courses to update and increase their knowledge. The people we spoke with told us that the dentist and his staff seemed well trained and knew what they were doing.

We saw that people who used the service had been asked for their views about the treatment they received. We saw that yearly satisfaction surveys were undertaken of a random sample of people who used the service. People we spoke with had said they had not taken part in these random surveys.