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Care Services

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Ponsford 59 Dental Practice, Minehead.

Ponsford 59 Dental Practice in Minehead is a Dentist specialising in the provision of services relating to diagnostic and screening procedures, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 20th April 2018

Ponsford 59 Dental Practice is managed by Dentaz Ltd.

Contact Details:

    Address:
      Ponsford 59 Dental Practice
      59 Ponsford Road
      Minehead
      TA24 5DY
      United Kingdom
    Telephone:
      01643702681
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: There's no need for the service to take further action.
Effective: There's no need for the service to take further action.
Caring: There's no need for the service to take further action.
Responsive: There's no need for the service to take further action.
Well-Led: There's no need for the service to take further action.
Overall: No Rating / Under Appeal / Rating Suspended

Further Details:

Important Dates:

    Last Inspection 2018-04-20
    Last Published 2018-04-20

Local Authority:

    Somerset

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

4th April 2018 - During a routine inspection pdf icon

We carried out this announced inspection on 4 April 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 this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

We found this practice was providing effective care in accordance with the relevant regulations.

Are services caring?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found this practice was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations.

Background

Ponsford 59 Dental Practice is in Minehead and provides NHS and private treatment to patients of all ages.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including spaces for blue badge holders, are available near the practice.

The dental team includes two dentists, one hygienist, two trainee dental nurses, one practice manager/dental nurse and one receptionist. The practice has three treatment rooms.

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 at Ponsford 59 Dental Practice was the practice manager.

On the day of inspection we collected 14 CQC comment cards filled in by patients and spoke with three patients.

During the inspection we spoke with one dentist, one trainee dental nurse, one receptionist and the practice manager/dental nurse. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Friday 9am to 5:30pm

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 thorough staff recruitment procedures.
  • 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 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 policy and the storage of products identified under Control of Substances Hazardous to Health (COSHH) 2002 Regulations to ensure a risk assessment is undertaken and the products are stored securely.
  • Review the practice’s protocols for the use of closed circuit television cameras (CCTV) taking into account guidelines published by the Information Commissioner's Office in relation to signage.

7th June 2017 - During a routine inspection pdf icon

We carried out this unannounced responsive focused inspection on 7 June 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was carried out due to three sources of concern raised to us particularly in relation to infection control practices, equipment and staffing. The inspection was led by a CQC inspector who was supported by a specialist dental nurse adviser and an assistant inspector.

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. Because this inspection was an unannounced responsive inspection we did not look at all areas. The areas we reviewed were; infection control, radiation, staffing, medical emergencies and equipment.

Our findings were:

Are services safe?

We found that this practice was providing safe care in accordance with the relevant regulations.

Background

Ponsford 59 Dental Practice is in Minehead and provides approximately 90% of NHS services and 10% private treatment to patients of all ages.

There is access for patients who use wheelchairs and pushchairs through the use of a ramp at the front of the practice. There were two car parking spaces. There were no specific spaces for disabled access. There was plenty of on street parking nearby including access to local transport services.

The dental team includes one dentist, who is the nominated individual, two qualified dental nurses, one of which is the practice manager, two dental hygienists and one receptionist. The practice has three treatment rooms.

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 is the practice manager and one of the directors of the company. They are also a qualified dental nurse.

During the inspection we spoke with the principal dentist, the dental nurse, the receptionist 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 Friday 9am to 5:30pm

Our key findings were:

  • Staff spoken with felt they were supported and management was approachable to raise concerns with them openly.
  • The practice had infection control procedures which needed some improvement to ensure they followed published guidance.
  • Staff received training in how to deal with medical emergencies. Appropriate medicines were available. There was life-saving equipment but not all equipment was available that should be available, according to resuscitation council UK guidelines and GDC standards for the dental team.
  • There were recruitment procedures in place however these could be further improved to ensure they met with current legislation.

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

  • Review the practice’s infection control procedures and protocols giving due regard to guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices and The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’.
  • Review the practice system for the sterilising equipment to ensure it is maintained according to manufacturers and infection control guidance and that appropriate maintenance records are held for appropriate intervals according to records management guidelines.
  • Review the current legionella risk assessment and implement the required actions including the monitoring and recording of water temperatures, giving due regard to the guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices and The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’.
  • Review availability of equipment to manage medical emergencies giving due regard to guidelines issued by the Resuscitation Council (UK), and the General Dental Council (GDC) standards for the dental team.
  • Review the protocol for completing accurate, complete and detailed records relating to employment of staff. This includes making appropriate written explanation of any gaps in employment and carrying out a risk assessment if a Disclosure and Barring Service check has not been received prior to employment.
  • Review the practice's recruitment policy and procedures to ensure written gaps of employment, how references should be sourced as well as proof of identification are recorded suitably giving due regard to Schedule 3 Information required in respect of persons seeking to carry on, manage or work for the purposes of carrying on, a regulated activity.
  • Review the training, learning and development needs of individual staff members and have an effective process established for the on-going assessment and supervision of all staff particularly in relation to infection control.
  • Review the systems in place for prescription pads to monitor and track their use from delivery to use.
  • Review stocks of dental materials and the system for identifying and disposing of out-of-date stock.
  • Review what should be reported to the Health and Safety Executive and at what intervals, particularly in relation to radiation.
  • Review the current staffing arrangements to ensure all dental care professionals are adequately supported by a trained member of the dental team when treating patients in a dental setting taking into account the guidance issued by the General Dental Council.

17th June 2014 - During a routine inspection pdf icon

This was the provider’s first inspection since registering their service. We looked at nine patient records and spoke with seven patients visiting the practice during our inspection. We spoke with all the staff on duty on the day of our inspection. We looked at the provider’s website, their Facebook page and the NHS Choices website to look at the information they provided patients and how they responded to patient feedback about their service.

The patients we met during our inspection spoke positively about the service and the staff; they told us; “The staff are helpful, kind and efficient;” and how their dentist was; “A pain free dentist. Brilliant!.” One patient told us; “The dentist has been excellent in providing treatment whilst I’ve been unwell.”

We saw information for patients about the service; the cost of treatment through the NHS and privately and about oral health was provided in the reception and waiting areas of the practice. Information for patients was also available on the providers’ website. Patients told us they were involved in all aspects of their treatment and knew the cost of treatment they received.

Treatment was provided following a full mouth assessment and discussions with the patient. The choices available to the patient were explained, recorded and a treatment plan was signed to show patients agreed to the treatment planned. The patients we spoke with told us they were happy with the treatment provided and experienced no unnecessary pain.

The surgery appeared clean and tidy. One patient told us, “I’ve always found it clean and tidy here and the updated decoration and refurbishment make it even better”; whilst another said, “The staff always wear protective clothes like masks and gloves when they treat me.” There were practices in place to ensure the surgery area was cleaned between patients as well as at the end of each day. Dental equipment was cleaned in a way which demonstrated compliance with current Department of Health guidelines.

Recruitment was carried out in a way which ensured staff were suitably knowledgeable and experienced to fulfil their role. All clinical staff were registered with the General Dental Council. All staff had received basic skills training during their induction period which included first aid and awareness in hygiene and infection control.

The practice had a dual patient record system which currently included paper recording and computer based records with all patient notes now being made on the computer based record system. The records we looked at were accurate and fit for purpose. Records relating to the running of the practice were up to date and routinely updated.

 

 

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