We carried out an announced comprehensive inspection on 20 February 2017 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

Taylored dental care limited offers a full range of dental treatments including preventative, corrective and cosmetic treatments. The practice is based in the centre of Keighley in West Yorkshire, close to the main shops. The staff consists of two dentists, one dental hygienist, two dental nurses, a treatment coordinator and a receptionist.

The practice is in a converted building. There are two treatment rooms on the ground floor one with integral decontamination facilities, an office/ staff area and a waiting/ reception room. Public parking is available near the practice.

The opening hours are Monday- Thursday 9am-6pm and Friday 9am-1pm.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual registered person. 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:

• The premises were visibly clean and tidy throughout but some areas; for example the storage of cleaning equipment and the dating of sterilised equipment may compromise infection controls.
• Staff had received safeguarding training, and knew the process to follow to raise concerns.
• There were sufficient numbers of suitably qualified, skilled staff to meet the needs of patients.
• Recruitment policies were available but not always followed for example recruitment checks were not all in place.
• The staff were aware of significant events and incident reporting and where to report these to but did not record or log these. There was no apparent record or analysis of these events for effective learning and development.
• Staff had been trained to deal with medical emergencies.
• Patients’ needs were assessed, and care and treatment were delivered, in accordance with current legislation, standards, and guidance.
• Patients received information about their care, proposed treatment, costs, benefits, and risks and were involved in making decisions about it.
• Staff were supported to deliver effective care, and opportunities for training and learning were available.
• Patients were treated with kindness, dignity, and respect.
• The appointment system met the needs of patients, and emergency appointments were available.
• Services were planned and delivered to meet the needs of patients, and reasonable adjustments were made to enable patients to receive their care and treatment.
• The practice gathered the views of patients and staff and took their views into account.
• Staff were supervised, felt involved, and worked as a team.
• X ray equipment was regularly serviced and checked.

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

• Review the practice's recruitment policy is adhered to and the recruitment arrangements are in line with Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 to ensure necessary employment checks are in place for all staff including DBS checks.
• 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.