We carried out an announced comprehensive inspection on 22 June 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

Andrea Ubhi – York is situated in the centre of York, North Yorkshire. It offers private dental treatments including dental implants, endodontics, cosmetic dental treatment, specialist orthodontics, conscious sedation and oral surgery.

The practice has four surgeries, a decontamination room, two waiting areas, three treatment co-ordinator pods; a separate room for the Orthopantomogram (OPT) machine and the cone beam computerised tomography (CBCT) scanner, a reception area and patient toilets. All facilities are located over three floors of the premises. There are staff facilities on the second floor of the premises and a seminar room used for staff meetings and training.

There is a company director, three dentists, two specialist Orthodontists, a dental hygienist, five dental nurses (two of which are trainees), three treatment co-ordinators, two receptionists, a practice manager and two marketing assistants.

The opening hours are Monday - Friday from 09:00 to 17:00.

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.

During the inspection we received feedback from seven patients. The patients were positive about the care and treatment they received at the practice and they told us they were involved in all aspects of their care and found the staff to be very friendly, exceptionally caring, they provide a high standard of care and were always treated with dignity and respect.

Our key findings were:

• The practice had systems in place to assess and manage risks to patients and staff including infection prevention and control, health and safety and the management of medical emergencies.
• The practice appeared clean and hygienic.
• There were sufficient numbers of suitably qualified staff to meet the needs of patients.
• Infection control procedures were in accordance with the published guidelines.
• Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• Treatment was well planned and provided in line with current best practice guidelines.
• 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 patients’ needs.
• The practice was well-led and staff felt involved and supported and worked well as a team.
• The governance systems were effective.
• The practice sought feedback from staff and patients about the services they provided.
• There were clearly defined leadership roles within the practice.

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

• Review the reporting protocol for using the reversal drug for sedation.