The Care Quality Commission
  • Dentist
  • Dentist

Archived: Deighton Dental Surgery

288 Keldregate, Deighton, Huddersfield, West Yorkshire, HD2 1LE (01484) 549139

Provided and run by:
Dr. Naveed Saleem

All Inspections

21 March 2016

During a routine inspection

We carried out an announced comprehensive inspection on 21 March 2016 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

Deighton Dental Surgery is situated in the Deighton area of Huddersfield, West Yorkshire. It offers mainly NHS treatment to patients of all ages but also offers private dental treatments. The services include preventative advice and treatment and routine restorative dental care.

The practice has two surgeries, a decontamination room, a waiting area and a reception area. All of these facilities are on the ground floor of the premises.

There are two dentists, one dental hygienist, two dental hygiene therapists, three dental nurses (including two trainees), a receptionist, a practice manager and a dental practice advisor.

The opening hours are Monday and Thursday from 9-00am to 5-00pm, Tuesday from 2-00pm to 5-00pm, Wednesday from 1-00pm to 4-00pm and Friday from 9-00am to 1-00pm.

The practice owner is registered with the Care Quality Commission (CQC) as an individual. 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.

During the inspection we received feedback from 16 patients. The patients were positive about the care and treatment they received at the practice. Comments included that the staff were friendly and helpful, the premises were safe and hygienic and that treatment was well explained.

Our key findings were:

  • The practice appeared clean and hygienic.
  • The practice had some systems in place to assess and manage risks to patients and staff including infection prevention, control and health and safety and the management of medical emergencies.
  • Staff were qualified and had received training appropriate to their roles.
  • Patients were involved in making decisions about their treatment and were given clear explanations about their proposed treatment including costs, benefits and risks.
  • Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
  • We observed that patients were treated with kindness and respect by staff.
  • Patients were able to make routine and emergency appointments when needed.

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

  • Review the practice’s system for the recording, investigating and reviewing incidents or significant events with a view to preventing further occurrences and, ensuring that improvements are made as a result.
  • Review the condition of the paving slabs at the rear fire exit to ensure they are secure.
  • Review staff awareness of the requirements of the Mental Capacity Act (MCA) 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.
  • Review the availability of a blood spillage kit giving due regard to the COSHH risk assessment.
  • Review the current legionella risk assessment and ensure water temperatures are checked at the appropriate intervals.
  • Review the arrangement for the use of the answering machine in the reception area.
  • Review the practice's whistleblowing policy to ensure it is practice specific.
  • Review the storage of dental care records to ensure they are stored securely.
  • Review the practice's recruitment policy and procedures to ensure references for new staff requested and recorded suitably.

15 August 2013

During an inspection looking at part of the service

We carried out this inspection to check if the provider had made improvements in cleaning practices. We looked around both treatment rooms and the decontamination room. We found the environment was clean. We saw the procedures for cleaning the environment and dental equipment were in place and were being followed.

18 April 2013

During a routine inspection

We spoke with three people who were registered with this practice. They all told us they were happy with the service they received. Two people confirmed the dentist always explained their treatment options and sought their consent prior to treatment.

We looked at four electronic patient records and saw they contained information about the person's oral health needs and the treatment provided. We saw evidence of people being involved in decisions and the dentist acted in accordance with the persons wishes.

Although there were effective decontamination procedures in place for the decontamination of dental equipment, the practice was not clean and hygienic. There was a build up of dust in the treatment rooms and infection control procedures for environmental cleaning were not being followed.

We saw evidence of regular monitoring of the quality of the service which included audits of patient records and the completion of national audits such as those from the health protection agency.