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

London Endo - Devonshire Street is based in Westminster and provides dental services connected with diagnosis and treatment of disease of endodontic origin. The service provides private treatment to patients.

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

The dental team includes two dentists, a dental nurse and a practice manager, The practice has one treatment room.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at London Endo - Devonshire Street was the principal dentist.

.

On the day of inspection we collected 10 CQC comment cards filled in by patients. There were no patients available to speak with on the day of the inspection. This information gave us a positive view of the practice.

During the inspection we spoke with the practice manager and the dental nurse. We spoke with the principal dentist the day after the inspection. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open Monday 9.00am to 6.00 pm.

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.

People using the service were given sufficient information about their treatment and were satisfied with the care they received. People reported via the patient satisfaction survey that they felt safe at the clinic and had their privacy and dignity respected and maintained by all staff at the clinic.