Crescent Orthodontics & Dental Practice

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We found this practice was providing safe care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

The practice had processes to identify and manage risks and staff we spoke with were able to describe these to us. We noted that some processes for managing risks related to sharps were not always effective. We saw out-of-date information on the sharps injury poster and the sharps risk assessment did not reflect protocols are the practice. A lone worker risk assessment was available, however there was no evidence that this had been reviewed or signed by the person it related to. The provider took immediate action, they submitted an updated sharps injury poster and a signed lone worker risk assessment on the day of the assessment. Staff demonstrated an open culture in relation to people’s safety. Staff felt confident that risks were well managed at the practice, and this was reflected in our findings. Emergency equipment and medicines were available and mostly checked in accordance with national guidance. Staff could access these in a timely way. We noted that there was no daily fridge temperature check to ensure the Glucagon, a medicine used to regulate blood sugar levels, was stored at the correct temperature. A new daily fridge temperature checklist was created during the assessment. Staff knew how to respond to a medical emergency and had completed training in emergency resuscitation and basic life support every year. Staff were encouraged to participate in medical emergency scenario training. The premises were visibly clean, well maintained and free from clutter. Hazardous substances were clearly labelled and stored safely. We saw satisfactory records of servicing and validation of equipment in line with manufacturer’s instructions. On the day of the assessment, the intraoral X-ray machine was out of use. We saw evidence that a new unit had been ordered and was due to be delivered and installed within the next few weeks.

The management of fire safety was effective, and fire exits were clear and well signposted. We noted monthly emergency lighting tests and monthly fire extinguisher checks were not always recorded. We discussed this with the area manager and practice manager and were assured this would be addressed and rectified. The practice had systems for appropriate and safe handling of medicines. NHS prescription pads were kept securely, and a log was in place to monitor and track their use. The practice had a recruitment policy and procedures that reflected relevant legislation, to help them employ suitable staff, including agency or locum staff. The practice ensured clinical staff were qualified, registered with the General Dental Council and had appropriate professional indemnity cover. Newly appointed staff had an appropriate role specific structured induction. Hepatitis B titre levels (to indicate immunity levels to the virus) were not available for 2 members of staff on the day of assessment. We discussed this with the area manager and practice manager and were assured this would addressed and rectified. Staff we spoke with had the skills, knowledge and experience to carry out their roles. They told us that there were sufficient levels of staff on duty at all times. They demonstrated knowledge of safeguarding and were aware of how safeguarding information could be accessed. Staff knew how to escalate safeguarding concerns within the practice and externally. The practice had arrangements to ensure staff training, including continuing professional development, was up-to-date and reviewed at the required intervals. There were effective processes to support and develop staff with additional roles and responsibilities. Staff discussed their learning needs, general well-being and aims for future professional development during annual appraisals, 1-to-1 meetings, during clinical supervision, practice team meetings and ongoing informal discussions.

Staff received appropriate training and demonstrated knowledge and awareness of infection prevention and control processes. We observed use of personal protective equipment and the decontamination of used dental instruments, which aligned with national guidance. We saw, and staff confirmed that single-use items were not reprocessed. The practice had effective procedures to reduce the risk of Legionella, or other bacteria, developing in water systems, in line with a risk assessment and current guidance. The practice had protocols to ensure effective cleaning and safe segregation and disposal of hazardous waste. The equipment in use was maintained and serviced as per manufacturers’ instructions. The practice completed infection prevention and control audits in line with current guidance.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.