We carried out this announced inspection on 31 January 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

Rosebank Dental Practice is in Chorleywood, Hertfordshire and provides private treatment to patients of all ages.

Level access for people who use wheelchairs and pushchairs can be obtained by the use of a temporary ramp at the front of the building. Limited car parking spaces are available in front the practice, and other parking is available nearby.

The dental team includes five general dentists, one orthodontist, one implantologist, four dental nurses, one trainee dental nurse, two dental hygienists and one receptionist. The practice has three treatment rooms.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

On the day of inspection we collected 34 CQC comment cards filled in by patients and spoke with three other patients. This information gave us a positive view of the practice.

During the inspection we spoke with staff and patients of the practice. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday from 8.30am to 5.30pm.

Tuesday from 8.30am to 5.30pm.

Wednesday from 8.30am to 8pm.

Thursday from 8.30am to 5.30pm.

Friday from 8.30am to 5.30pm.

Saturday from 9am 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.

People we spoke with were happy about the treatment they had received. People felt that they had been involved in the decision making process of their treatment plans.

Staff were aware of the practice safeguarding children and vulnerable adults policy and procedures.

During our inspection we saw that the practice had processes in place to prevent the spread of infections.

People were cared for, or supported by, suitably qualified, skilled and experienced staff.

There was an effective system in place which regularly assessed and monitored the quality of service that people received.