We carried out an announced comprehensive inspection on 14 October 2015 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

The practice is owned and managed by the principal dentist and is situated in the town centre of Wigton in Cumbria. It offers mainly NHS treatment to patients of all ages and also offers independent dental treatment. The services include preventative advice, treatment and routine restorative dental care. The practice is open Monday, Wednesday and Friday from 9.00am to 5.00pm, and Tuesday and Thursday 9.00am to 7.00pm.

There are six dentists, two foundation dentists, two hygienists, nine dental nurses, a designated decontamination nurse, two receptionists and a practice administrator. Foundation dentists are newly qualified dental practitioners from a dental school. A foundation dental practitioner works in an approved training practice under supervision and also receives additional training of specific relevance to general or community dental practice.

The practice owner 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.

We viewed 14 CQC comment cards that had been left for patients to complete, prior to our visit, about the services provided. All of the comment cards reflected positive comments about the staff and the services provided. Patients commented that the practice was clean and hygienic, they found the staff very friendly and approachable and they found the quality of the dentistry to be excellent. They said explanations were clear and made the dental experience as comfortable as possible

Our key findings were:

• The practice recorded and analysed significant events and complaints and cascaded learning to staff.
• Staff had received formal safeguarding training and knew the processes to follow to raise any concerns.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Staff had been trained to deal with medical emergencies and appropriate medicines and life-saving equipment were readily available.
• Infection control procedures were in place.
• Patients’ care and treatment was planned and delivered in line with evidence based guidelines, best practice and current legislation.
• Patients received clear explanations about their proposed treatment, costs, benefits and risks and were involved in making decisions about it.
• Patients were treated with dignity and respect and confidentiality was maintained.
• The appointment system met the needs of patients and waiting times were kept to a minimum.
• There was an effective complaints system.
• The practice was well-led and staff felt involved and worked as a team.
• Governance systems were effective and there was a range of clinical and non-clinical audits to monitor the quality of services.
• The practice sought feedback from staff and patients about the services they provided.

We spoke with patients when we inspected who all commented they were very happy with the service. They all said they saw the dentist regularly and felt the care they received was excellent.

They confirmed that the dentist always explained what they were doing, what they had found during examination and what the treatment options were. They confirmed they had received information to enable them to decide upon treatment options.

Patients confirmed that the practice appeared very clean and staff always wore protective equipment when treating them. Feedback received from patients during the inspection and review of patient satisfaction surveys confirm that patients are happy with the service they receive