Inspection carried out on 5 February 2016
During a routine inspection
We carried out an announced comprehensive inspection on 5 February 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

‏ Premier Dental Clinic is located in the London Borough of Bromley and provides private dental services. The practice specialises in dental implants and receives most of its patients via referrals from other dentists.

The staff structure of the practice comprises of one dentists, a dental nurse, a trainee dental nurse and a receptionist shared with another business located in the same building the practice is located in.

The practice was open 09.00 – 6.00pm Monday to Friday and Saturday by appointment.

Facilities within the practice include two treatment rooms, a dedicated decontamination room and a waiting area.

The principal dentist 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.

Before the inspection we sent Care Quality Commission (CQC) comment cards to the practice for patients to complete to tell us about their experience of the practice. We received feedback from four patients. The feedback we received for patients gave a positive view of the services the practice provides. All of the patients commented that the quality of care was good.

We carried out an announced comprehensive inspection on 5 February 2016 as part of our planned inspection of all dental practices. The inspection took place over one day and was carried out by a lead inspector and a dental specialist adviser.

Our key findings were:

  • There were effective processes in place to reduce and minimise the risk and spread of infection.
  • Patients’ needs were assessed and care was planned in line with best practice guidance such as from the National Institute for Health and Care Excellence (NICE) and Delivering Better Oral Health.
  • Patients were involved in their care and treatment planning.
  • There was appropriate equipment for staff to undertake their duties and equipment was well maintained.
  • Patients told us that staff were caring and treated them with dignity and respect.
  • Patients indicated that they felt they were listened to and that they received good care from a helpful and caring practice team.
  • There were processes in place for patients to give their comments and feedback about the service including making complaints and compliments.
  • Governance arrangements were in place and there was a clear vision for the smooth running of the practice.
  • There were areas where the provider could make improvements and should:

  • Review the practice’s policy and the storage of products identified under Control of Substances Hazardous to Health (COSHH) 2002, Regulations.
  • Review the practices’ current Legionella risk assessment and implement the required actions 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’.
  • Review the protocols and procedures for use of X-ray equipment giving due regard to Guidance Notes for Dental Practitioners on the Safe Use of X-ray Equipment.
  • Review the protocols for undertaking audits to ensure where appropriate audits have documented action plans and the identified learning is shared with staff to help improve the quality of the care.
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