Updated 25 September 2023
We carried out this announced comprehensive inspection on 7 August 2023 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 practice was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.
The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a specialist dental advisor.
To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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:
- The dental clinic appeared clean and well-maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with medical emergencies. Improvements were required to ensure all appropriate medicines and life-saving equipment were available.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which reflected current legislation.
- Clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- The appointment system worked efficiently to respond to patients’ needs.
- The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
- There was effective leadership and a culture of continuous improvement.
- Staff felt involved, supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
- Complaints were dealt with positively and efficiently.
- The practice had information governance arrangements.
- The practice had systems to manage risks for patients, staff, equipment and the premises. We found minor shortfalls in assessing and mitigating the risks in relation to lone working at the practice.
Background
Orpington Dental Care is in Bromley and provides private dental care and treatment for adults and children.
There is step free access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.
The dental team includes a principal dentist, 3 dentists, 5 dental nurses,1 trainee nurse, 1 dental hygienists, the practice manager and 3 receptionists. The practice has 4 treatment rooms.
During the inspection we spoke with 1 hygienist, 1 dental nurse,1 trainee dental nurse and 2 receptionists. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
Monday 8.00 – 16.00
Tuesday 8.00 – 17.00
Wednesday 8.00 –19.00
Thursday 8.00 – 16.00
Friday 8.00 – 14.00
Saturday Closed
Sunday Closed
There were areas where the provider could make improvements. They should:
- Implement protocols for the use of closed circuit television cameras taking into account the guidelines published by the Information Commissioner's Office
- Improve the practice's systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities. In particular in regard to risk assessment for lone working
- Take action to ensure the availability of equipment and medicines in the practice to manage medical emergencies taking into account the guidelines issued by the British National Formulary and the General Dental Council.