We carried out an announced comprehensive inspection on 9 September 2015 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.

Grand Avenue Dental Practice is a general dental practice in Worthing, West Sussex offering NHS and private dental treatment to adults and children.

The premises consist of nine treatment rooms over three floors; a reception area on the ground floor and a waiting area on each floor.

The staff at the practice consist of two principal dentists, six associate dentists, five dental hygienists, nine dental nurses, four receptionists (one of whom is also an oral health educator), an office manager and a practice manager (who 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:

• There were effective systems in place to reduce the risk and spread of infection. We found the treatment rooms and equipment were visibly clean.

• There were systems in place to check equipment had been serviced regularly, including the suction compressor, autoclave, fire extinguishers, oxygen cylinder and the X-ray equipment.

• We found the dentists regularly assessed each patient’s gum health and took X-rays at appropriate intervals.

• The practice ensured staff maintained the necessary skills and competence to support the needs of patients.

• The practice kept up to date with current guidelines when considering the care and treatment needs of patients.

• Staff demonstrated knowledge of the practice whistleblowing policy and were confident they would raise a concern about another staff member’s performance if it was necessary.

• At our visit we observed staff were kind, caring and put patients at their ease.

• We reviewed nine Care Quality Commission (CQC) comment cards that had been completed by patients. Common themes were patients felt they received excellent service from a helpful and caring practice team in a clean environment.

• The practice offered a regular oral health education clinic where patients could be referred in order to motivate and encourage them to improve their oral health. This service was available to both NHS and private patients who clinically required it.

• There was an effective system in place to act on feedback received from patients and staff.

• There were systems in place to assess, monitor and improve the quality of service provided.