We carried out this announced inspection on 4 June 2018 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

Jasmine Dental Studios provides NHS and private treatment to patients of all ages.

There is level access for people who use wheelchairs and those with pushchairs.

The dental team includes nine dentists, one dental nurse, one trainee dentalnurse, two receptionist and one practice manager. The practice has three treatment rooms.

The practice is owned by a partnership 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 at Jasmine Dental Studios was one of the principal dentist.

On the day of inspection, we collected 21 CQC comment cards filled in by patients and spoke to three patients.

During the inspection we spoke with three dentists, a dental nurse and two receptionists . We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

• Monday 9am to 5.30pm
• Tuesday 9am to 5.30pm
• Wednesday 9am to 5.30pm
• Thursday 9am to 6.30pm
• Friday 9am to 4.00pm

Our key findings were:

• The practice appeared clean and well maintained.
• The practice had infection control procedures which reflected published guidance.
• Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
• 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 staff recruitment procedures but some improvements were required.
• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
• The practice was providing preventive care and supporting patients to ensure better oral health.
• The appointment system met patients’ needs.
• The practice had effective leadership and a culture of continuous improvement.
• 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.
• The practice had suitable information governance arrangements.

There were areas where the provider could make improvements. They should:

• Review the practice's recruitment policy and procedures to ensure accurate, complete and detailed records are maintained for all staff.

We did not speak with people using the service during our inspection. We did review some patient feedback forms and checked patient reviews on the NHS choices website. People's comments included "dentist and staff are lovely", "receptionist was friendly", and "always found the service efficient".

People were provided with sufficient information about the treatments available and their cost. We looked at six patient records during our inspection; standard NHS FP17 DC treatment plans were used to record the agreed treatment and the written consent of people using the service. The patient records that we saw had been signed by people using the service.

The practice was clean and modern, with three treatment rooms at the practice and a dedicated decontamination room. A dental nurse demonstrated the procedure they followed for sterilising dirty instruments. Infection control protocols were on display for staff to refer to if required.

There was a complaints procedure on display if people had concerns about their care. We asked for and received a summary of the formal complaints people had made in the past year and the providers response. We saw that people’s complaints were fully investigated and resolved, where possible, to their satisfaction.