We carried out this announced inspection on 19 June 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

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 form the framework for the areas we look at during the inspection.

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

 Dr. Gaynor Langley - Devonshire Street is in Westminster and provides

private treatment to patients of all ages.

There is access for people who use wheelchairs and those with pushchairs.

The dental team includes seven dentists, three dental nurses, three dental hygienists, a receptionists and a front of house manager. The practice has four treatment rooms.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

On the day of inspection we collected

42CQC comment cards filled in by patients and received 15 patients experience from the CQC share your experience form. This information gave us a positive view of the practice.

During the inspection we spoke with two dentists, three dental nurses, a receptionist and the principal dentist. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open 8.30- 5.30pm Monday to Friday; the practice was open till 8.00pm on Tuesday and Wednesday.

Our key findings were:

·        

The practice was clean and well maintained.

·        

The practice had infection control procedures which reflected published guidance.

·        

Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.

·        

The practice had systems to help them manage risk.

·        

The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.

·        

The practice had thorough staff recruitment procedures.

·        

The clinical staff provided patients’ care and treatment in line with current guidelines.

·        

Staff treated patients with dignity and respect and took care to protect their privacy and personal information.

·        

The appointment system met patients’ needs.

·        

The practice had effective leadership. Staff felt involved and supported and worked well as a team.

·        

The practice asked staff and patients for feedback about the services they provided.

·        

The practice dealt with complaints positively and efficiently.

The person we spoke with was happy with their experiences of the practice. They said that their family was also treated and they had recommended the service to their friends. They said the practice was clean. If they had questions these were answered and problems were sorted out. We also reviewed the patient survey which showed that people were positive about the service.

There were suitable processes for staff training and professional development. There were effective systems in place to reduce the risk and spread of infection. Staff had been trained in infection control and for emergency situations. Staff understood their responsibilities with regard to safeguarding and had a process to follow if they had concerns. Each person was assessed for their suitability prior to any treatment; they were involved in planning their treatment and could ask as many questions as they wished.

Staff were supported by the practice’s systems and policies. The practice had systems to review and monitor the quality and safety of the service provided. These included risk assessments and audits.

During the course of the inspection the provider's name and location name were changed from Dr Gaynor Barrett to Dr Gaynor Langley (provider) and Dr Gaynor Langley - Devonshire Street (location). The organisation remains the same apart from this name change.