The Care Quality Commission
  • Dentist
  • Dentist

Super White Dental Clinic Ltd

41 South Lambeth Road, London, SW8 1RH (020) 3645 7885

Provided and run by:
Super White Dental Clinic Ltd

All Inspections

9 June 2022

During an inspection looking at part of the service

We undertook a follow up focused inspection of Super White Dental Clinic Limited on 9 June 2022. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a CQC inspector who supported by a second inspector and a specialist dental adviser.

We undertook a comprehensive inspection of Super White Dental Clinic Limited on 27 May 2021 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We carried out a focused inspection to check on improvements made on 17 December 2021. We found the registered provider was not providing safe, effective or well led care and was in breach of regulations 12, 18,19, and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Super White Dental Clinic on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it safe?

• Is it effective?

• Is it well-led?

Our findings were:

Are services safe?

We found this practice was providing safe care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspections on 27 May 2021 and 17 December 2021.

Are services effective?

We found this practice was providing effective care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 27 May 2021 and 17 December 2021.

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 27 May 2021 and 17 December 2021.

Background

Super White Dental Clinic Ltd is in the London Borough of Lambeth and provides private dental care and treatment for adults and children.

The dental team includes the principal dentist, one associate dentist, one dental nurse and one trainee dental nurse. The practice has two treatment rooms.

There is level 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 adjustments to support patients with additional needs. These included step free access to treatment rooms and adapted toilet facilities.

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

The practice is open:

Monday to Friday 9am to 6pm

Saturdays 9am to 1pm

There were areas where the provider could make improvements. They should:

  • Take action to ensure clinicians record in the patients’ dental care records or elsewhere the reason for taking X-rays, a report on the findings and the quality of the image in compliance with Ionising Radiation (Medical Exposure) Regulations 2017 and taking into account relevant guidance.
  • Take action to ensure the clinicians take into account the guidance provided by the College of General Dentistry when completing dental care records.
  • Implement audits for prescribing of antibiotic medicines taking into account the guidance provided by the College of General Dentistry.

17 December 2021

During an inspection looking at part of the service

We undertook a follow up focused inspection of Super White Dental Clinic Ltd on 17 December 2021. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We undertook a comprehensive inspection of Super White Dental Clinic Ltd on 27 May 2021 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing safe, effective or well led care and was in breach of regulations 12 – Safe care and treatment, 17 – Good governance, 18 – Staffing and 19 – Fit and proper persons employed of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Super White Dental Clinic Ltd on our website www.cqc.org.uk.

As part of this inspection we asked: Remove as appropriate:

• Is it safe?

• Is it effective?

• Is it well-led?

When one or more of the five questions are not met we require the service to make improvements and send us an action plan (requirement notice only). We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

Our findings were:

Are services safe?

We found this practice was not providing safe care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breaches we found at our inspection on 27 May 2021.

Are services effective?

We found this practice was not providing effective care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breaches we found at our inspection on 27 May 2021.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded to the regulatory breaches we found at our inspection on 27 May 2021

Background

Super White Dental Clinic Ltd is in the London Borough of Lambeth and provides private dental care and treatment for adults and children.

The dental team includes the principal dentist, one associate dentist, one dental nurse and one trainee dental nurse. The practice has two treatment rooms.

The practice is owned by an organisation and as a condition of registration must have a person registered with the CQC 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 Super White Dental Clinic Ltd is the principal dentist.

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

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

The practice is open:

9am to 6pm Mondays to Fridays

9am to 5pm Saturdays

Our key findings were:

  • The practice appeared to be visibly clean.
  • The provider had suitable safeguarding procedures.
  • There were effective systems in place to reduce the risks associated with the transmission of Covid-19.
  • The infection control procedures were not monitored to ensure that they were followed in accordance with published guidance.
  • There were ineffective systems to ensure that all the recommended emergency medicines were available.
  • There were ineffective systems to assess and manage risk to patients and staff.
  • The practice recruitment procedures were not followed, and important checks were not carried out when staff were recruited to work at the practice.
  • There were ineffective management and governance arrangements to monitor and improve quality and safety at the practice.

We identified regulations the provider was not complying with. They must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance withthe fundamental standards of care.
  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

Full details of the regulations the provider is not meeting are at the end of this report.

We will review these improvements at a follow inspection visit.

27 May 2021

During an inspection looking at part of the service

We carried out this announced focused inspection on 27 May 2021 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 Care Quality Commission (CQC) inspector who was supported by a CQC specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we asked the following questions:

• Is it safe?

• Is it effective?

• 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 this practice was not providing safe care in accordance with the relevant regulations.

Are services effective?

We found this practice was not providing effective care in accordance with the relevant regulations.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

Background

Super White Dental Clinic Ltd is in the London Borough of Lambeth and provides private dental care and treatment for adults and children.

The dental team includes the principal dentist, one associate dentist, one dental nurse and one trainee dental nurse. The practice has two treatment rooms.

The practice is owned by an organisation and as a condition of registration must have a person registered with the CQC 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 Super White Dental Clinic Ltd is the principal dentist.

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

Our key findings were:

  • The practice appeared to be visibly clean.
  • The infection control procedures were not monitored to ensure that they were followed in accordance with published guidance.
  • There were ineffective systems in place to reduce the risks associated with the transmission of Covid-19.
  • There were ineffective systems to ensure that medicines and life-saving equipment were available.
  • There were ineffective systems to assess and manage risk to patients and staff.
  • The provider had safeguarding procedures. However, staff had not undertaken training and were not aware of their responsibilities for safeguarding vulnerable adults and children.
  • The practice recruitment procedures were not followed, and important checks were not carried out when staff were recruited to work at the practice.
  • There were ineffective management and governance arrangements to monitor and improve quality and safety at the practice.

We identified regulations the provider was not complying with. They must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with

the fundamental standards of care.

  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

Full details of the regulations the provider is not meeting are at the end of this report.

Following our inspection, the provider voluntarily closed the practice and employed the services of a compliance consultant to assist with making changes and the required improvements. The provider submitted documentary evidence in relation to the improvements they had made and were continuing to undertake.

We will review these improvements at a follow inspection visit.

09 September 2015

During a routine inspection

We carried out an announced comprehensive inspection on 09 September 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

Super White Dental Clinic is located in the London Borough of Lambeth. The premises consist of two treatment rooms and one dedicated decontamination room. There are also toilet facilities, waiting area, a reception area and an office.

The practice provides private dental services and treats both adults and children. The practice offers a range of dental services including routine examinations and treatment, veneers, crowns and bridges and oral hygiene.

The practice staffing consists of one principal dentist (who was also the manager and provider), one dental nurse and a receptionist.

The practice is open; Monday to Friday from 9:00am to 6:00pm. The practice books patients in on Monday, Wednesday and Saturday from 9:00am to 2:00pm for treatments.

The owner is the principal dentist, manager and the provider of the service.

The practice had a registered manager in place. A registered manager is a person who is registered with the Care Quality Commission (CQC) 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.

The inspection took place over one day and was carried out by a CQC inspector and a dentist specialist advisor.

We received two CQC comment cards completed by patients. Patients had commented positively about the dentist and their experience of being treated at the practice.

Our key findings were:

  • There was an effective system in place for reporting and learning from incidents.

  • The practice had arrangements in place to deal with medical emergencies at the practice.

  • There were effective systems in place to reduce and minimise the risk and spread of infection.

  • The practice had effective safeguarding processes in place and staff understood their responsibilities for safeguarding adults and children living in vulnerable circumstances.

  • The principal dentist had a vision for the practice and staff told us they were well supported.

  • Governance arrangements were in place for the running of the practice; however improvements needed to be made to have a structured plan in place to assess various risks arising from undertaking the regulated activities and to effectively audit quality and safety.

There were areas where the provider could make improvements and should:

  • Review the practice’s arrangements for receiving and responding to patient safety alerts, recalls and rapid response reports issued from the Medicines and Healthcare products Regulatory Agency (MHRA) and through the Central Alerting System (CAS), as well as from other relevant bodies, such as Public Health England (PHE).
  • Review the practice's policy and the storage of products identified under Control of Substances Hazardous to Health (COSHH), 2002 Regulations to ensure they are stored securely .
  • Review the practice's protocols for completion of dental care records giving due regard to guidance provided by the Faculty of General Dental Practice regarding clinical examinations and record keeping.