We carried out this announced inspection on 22 November 2018 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

Mr. Kia Rezavandi is a dental surgery in the London Borough of Westminster and provides private treatment to adults and children. It is a dedicated referral practice for periodontal and implant dentistry.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice for a fee.

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

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 five CQC comment cards filled in by patients.

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

The practice is open: Monday – Friday 8.30am- 5.30pm

Our key findings were:

• The practice appeared clean and well maintained.
• The provider 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 to patients and staff.
• The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The provider 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.
• Staff were providing preventive care and supporting patients to ensure better oral health.
• The appointment system took account of patients’ needs.
• The provider had effective leadership and culture of continuous improvement.
• Staff felt involved and supported and worked well as a team.
• The provider asked staff and patients for feedback about the services they provided.
• The provider dealt with complaints positively and efficiently.
• The provider had suitable information governance arrangements.

People who use the service were given appropriate information and support regarding their care or treatment. We spoke with three people who used the service and they told us they got appropriate amounts of information about their treatment and that staff told people what they were doing whilst they treated them. We looked at the results of patient feedback questionnaires (11 responses) gathered from August 2013 onwards. 100% of respondents said that the dentist listened to them. The majority of people also said that the cost of treatment was fully explained to them.

The people we spoke with described the service as "really good" and praised the quality of care and treatment they received. In the patient feedback 100% of respondents said they felt confident about the quality of treatment and that they would recommend the practice to others. Staff had been trained in what to do in the event of a medical emergency.

There were effective systems in place to reduce the risk and spread of infection. Staff received appropriate professional development. They undertook mandatory training in appropriate topics such as Basic Life Support and Infection Control, as well as further training specific to the treatments and services provided at the practice.

The provider had an effective system to regularly assess and monitor the quality of service that people receive. There was a complaints procedure available to people using the service that was on display in the reception area.

People that used the dental surgery told us that they were happy with the service provided. They felt they were given enough information about their treatment options and the relevant fees and were able to ask all the questions they wanted to.

They found the staff to be friendly and reported that they were treated with respect and

their privacy was maintained. They said that the service environment was clean in all areas.