We carried out an announced comprehensive inspection on 27 October 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.

Background

Dentistry@130 is situated in the Cross Gates area of Leeds. It offers mainly NHS treatment to patients of all ages but also offers private dental treatments. The services provided include preventative advice and treatment and routine restorative dental care.

The practice has three surgeries, a decontamination room, a waiting area and a reception area. Toilet facilities are situated on the ground and first floor of the premises. The reception and waiting room are on the ground floor and there are two surgeries on the ground floor and one surgery on the first floor of the premises.

There are three dentists, four dental nurses (one of whom was a trainee), one receptionist and a practice manager. They are also supported by an area development manager.

The opening hours are Monday to Friday 9-00am to 5-30pm.

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.

On the day of inspection 17 patients provided feedback. The patients were positive about the care and treatment they received at the practice. They told us they were treated with dignity and respect, informed of treatment options and were made to feel comfortable and relaxed.

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.
• Staff received training appropriate to their roles.
• Dental care records were detailed and showed that treatment was planned in line with current best practice guidelines.
• Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit.
• Patients were treated with care, respect and dignity.

There were clearly defined leadership roles within the practice and staff told us that they felt supported, appreciated and comfortable to raise concerns or make suggestions. Staff received training appropriate to their roles.

People's privacy, dignity and independence were respected. We observed staff treating people with respect, being polite and courteous. One person told us, “The dentist is good and explains everything. You can go away and think about the treatment options and come back with your decision.” Another person said, “The staff are approachable and the dentist puts you at ease.”

People experienced care, treatment and support that met their needs and protected their rights. We spoke with three people and they told us they were very happy with the service they received. We looked at the feedback from satisfaction questionnaires the practice sent to people between February and April 2013. These showed that people reported very high levels of satisfaction with the practice.

People were treated in a clean, hygienic environment. The people we spoke with told us that they had no concerns with the hygiene within the practice. One person told us, "The practice is always clean and tidy."

People were cared for, or supported by suitably qualified, skilled and experienced staff. Appropriate checks had been undertaken before staff were employed by the practice.

There were quality monitoring programmes in place, which included people being asked to provide feed-back about their care and treatment and regular audits. This provided a good overview of the quality of the service provided.