We carried out this announced inspection on 6 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.

We told the NHS England area team and Healthwatch that we were inspecting the practice. We did not receive any information of concern from them.

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

Rayner Dental Practice - Girlington is in Bradford and provides NHS and private treatment to adults and children.

There is level access for people who use wheelchairs and pushchairs. Car parking spaces are available near the practice.

The dental team includes five dentists, six dental nurses (one of whom is a trainee) and a practice manager. The practice has two treatment rooms and a preventative dental unit.

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 Rayner Dental Practice - Girlington was the senior partner.

On the day of inspection we received feedback from 46 patients. This information gave us a positive view of the practice.

During the inspection we spoke with two dentists, one dental nurse 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 from 9:00am to 5:30pm (closed between 1:00pm and 2:00pm for lunch)

Saturday from 9:00am to 1:00pm

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 staff recruitment procedures. Minor improvements were required to the recruitment process.
• 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.

There were areas where the provider could make improvements and should:

• Review the security of prescription pads in the practice and ensure there are systems in place to monitor and track their use.
• Review the practice's recruitment policy and procedures to ensure Disclosure and Barring Service (DBS) checks are sought when necessary and risk assessments are put in place for individuals in whom the Hepatitis B immunity levels are not yet known.
• Review its audit protocols to ensure X-ray audits are carried out for each individual practitioner.

We were only able to talk to two people when we visited the dental practice, they both told us they were satisfied with the care and treatment they had received and would recommend the practice to other people. However we were provided with a copy of the patient survey results for 2013. This showed us that 12 people were asked their views of the practice. People were asked if their treatment was explained and all stated they were satisfied with the explanation they had received and with their dentist. All also stated the cleanliness was acceptable.

We found the practice had been recently refurbished and was very clean and well ordered. We saw staff were very helpful when people arrived for their appointments and staff were able to speak to people in their first language, such as English or Urdu.

We found the provider had regularly assessed and monitored the service they provided and people had received the treatment of their choice, in a clean and hygienic surgery.