We carried out this announced inspection on 14 June 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.

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

Rainham Dental Surgery is in Rainham, Gillingham and provides NHS and private treatment to patients of all ages.

There is level access for people who use wheelchairs and pushchairs, with two ground floor treatment rooms. Car parking spaces, for patients with disabled badges, are available at the front of the practice.

The dental team includes 12 dentists, four of which are on the specialists register, six hygienists, eight dental nurses, one student nurse, four receptionists and a practice manager. The practice has support from the providers head office. The practice has five treatment rooms.

The practice is owned by a corporate 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 Rainham Dental Surgery is the practice manager.

On the day of inspection we collected 2 CQC comment cards filled in by patients and spoke with two other patients. This information gave us a positive view of the practice.

During the inspection we spoke with three dentists, three dental nurses and the practice manager. We also spoke with the area compliance facilitator for the company. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 8am to 5.30pm

Tuesday 9am to 5.30pm

Wednesday and Thursday 8am to 8pm

Friday 8.30am to 5pm

And Saturdays by appointment, 8am to 1pm.

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. 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 appointment system 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.

We identified an area/s of notable practice.

The practice sees and treats children from Chernobyl in Belarus and provides them with free dental treatment each year.