We carried out an announced comprehensive inspection on 22 November 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

Premier Dental Care is a dental practice providing private and NHS treatment for both adults and children. The practice is based in the ground floor of a building in Addlestone, Surrey which is very close to the train station. The practice has two dental treatment rooms. There is no separate decontamination facility used for cleaning, sterilising and packing dental instruments. The practice is accessible to wheelchair users, prams and patients with limited mobility. The practice employs two dentists, two dental nurses, one trainee dental nurse and one practice manager / receptionist. The practice’s opening hours are Monday to Friday 9:00 - 17:00. They close for lunch between 13.00 -14.00. Patients are advised to contact 111 out of hours if they require urgent dental assistance.

The practice is registered with the Care Quality Commission (CQC) as a partnership, Dr Farnaz Mirsiaghi and Dr Massod Mousavi. They are ‘registered persons’. 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.

Miss Sharnam Abassalty is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. 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.

Our key findings were:

• We found that the practice ethos was to provide patient centred dental care in a relaxed and friendly environment.

• Leadership was provided by the principal dentist who is one of the partners.

• Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment was readily available in accordance with current guidelines.

• The practice appeared clean and well maintained.

• There was appropriate equipment for staff to undertake their duties, and equipment was well maintained.

• Infection control procedures were of a high standard and the practice followed published guidance.

• The registered manager acted as the safeguarding lead with effective processes for safeguarding adults and children living in vulnerable circumstances.

• There was a process for the reporting and shared learning when untoward incidents occurred in the practice.

• Dentists provided dental care in accordance with current professional and National Institute for Care Excellence (NICE) guidelines.

• The service was aware of the needs of the local population and took these into account in how the practice was run.

• Patients could access treatment and urgent and emergency care when required.

• Staff received training appropriate to their roles and were supported in their continued professional development (CPD) by the practice owner.

• Staff we spoke with felt very well supported by the practice owners[PD1] and were committed to providing a quality service to their patients.

•Feedback from one completed Care Quality Commission (CQC) comment cards gave  us a positive picture of a friendly, caring, professional and high quality service.