Archived: Leyburn Dental Practice - Hawes Health Centre

Updated 15 March 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We informed NHS England area team and Healthwatch that we were inspecting the practice; we received no information of concern from them.

During the inspection we spoke with a dentist and a dental nurse who were from the Alpha dental team at the location and also other visiting staff at the main practice in Leyburn including three dentists, a dental hygienist, three dental nurses and the practice manager.

To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 15 March 2017

We carried out an announced comprehensive inspection on 17 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

Leyburn Dental Practice - Hawes Health Centre is located in Hawes, North Yorkshire and provides NHS and private treatment to adults and children. This is a branch surgery within a local health centre which helps provide outreach dental treatment in rural areas. There is one surgery where all equipment and decontamination procedures take place.

Wheelchair users or pushchairs can access the practice through step free access. Car parking spaces are available near the practice.

The dental team is based at the main practice in Leyburn and work on a rota to ensure each day has a clinical member of staff. Once a month the hygienist and the hygiene therapist visit the surgery. The dental team is comprised of three dentists who are directors, five dental nurses, a dental hygienist, a dental hygiene therapist, a receptionist and a practice manager. .

On the day of inspection we received 32 CQC comment cards providing positive feedback. The patients who provided feedback were very positive about the care and attention to treatment they received at the practice. They told us they were involved in all aspects of their care and found the staff to be very pleasant and helpful; staff were friendly and communicated well. Patients commented they could access emergency care easily and they were treated with dignity and respect in a clean and tidy environment.

The practice is open:

Monday –Thursday 9am-5pm

A supporting NHS service is provided on a Friday by Alpha Dales practice 9am-5pm.

The practice manager 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.

Our key findings were:

• The practice appeared clean and well maintained.
• Infection control procedures were robust and the practice followed published guidance.
• Staff had been trained to handle emergencies and appropriate medicines and life-saving equipment were readily available in accordance with current guidelines.
• The practice had systems in place manage risks.
• Staff understood and received safeguarding training and knew how to recognise signs of abuse and how to report it.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Effective recruitment processes of staff were in place.
• Treatment was well planned and provided in line with current guidelines.
• Patients were treated with dignity and respect and confidentiality was maintained.
• The appointment system met patients’ needs.
• The service was aware of the needs of the local population and took these into account in how the practice was run
• The practice was well-led and staff felt involved and supported and worked well as a team.
• The practice sought feedback from staff and patients about the services they provided.
• Complaints were responded to in an efficient and responsive manner.

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

• Review the process to ensure the practice investigates and reviews incidents and significant events with a view to preventing further occurrences, ensuring that improvements are made as a result.
• Review the process and procedures for domiciliary care for patients who could no longer access their services. Implement risk assessments and ensure access to medical emergency drugs and equipment is in line with the guidelines for the delivery of a domiciliary oral healthcare service 2009.
• Review the practice information available to patients in the waiting area, including the practice complaints, opening hours and staff information.
• Review the security of the dental surgery when not in use.