The Care Quality Commission
  • Dentist
  • Dentist

Bute House Dental Surgery

30 Victoria Road, Deal, Kent, CT14 7BH (01304) 375293

Provided and run by:
Bute House Dental Surgery

Important: The provider of this service changed - see old profile

All Inspections

11 January 2022

During an inspection looking at part of the service

We carried out this unannounced focused inspection on 11 January 2022 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 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 well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

  • The practice appeared to be visibly 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 provider had systems to help them manage risk to patients and staff.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures which reflected current legislation.
  • 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 provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked 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 information governance arrangements.

Background

Bute House Dental Practice is in Deal, Kent and provides NHS and private dental care and treatment for adults and children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for people with disabilities, are available near the practice.

The dental team includes six dentists, five dental nurses, a dental hygienist, and two receptionists. The practice has four treatment rooms.

During the inspection we spoke with three dentists, two dental nurses and both receptionists. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Friday 8.30am to 5pm

26 May 2016

During a routine inspection

We carried out an announced comprehensive inspection on 26 May 2016 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

Bute House Dental Surgery is a dental practice providing mostly NHS dental treatment, with private treatment options for patients. The practice is located in premises close to Deal town centre. There is roadside parking in the area.

The practice has four treatment rooms, two of which are on the ground floor.

The practice provides dental services to both adults and children. The practice provides mostly NHS treatment (85%). Services provided include general dentistry, dental hygiene, crowns and bridges, and root canal treatment. Patients also have the option of private treatment options such as implants and cosmetic dentistry.

The practice’s opening hours are – Monday to Friday 8.30am to 5.30pm  and Saturday 8am to 3pm.

Access for urgent treatment outside of opening hours is by telephoning the practice and following the instructions on the answerphone message or by telephoning the local Dentaline service.

The principal dentist/owner is registered with the Care Quality Commission (CQC) as an individual. 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 practice has seven dentists; four qualified dental nurses three receptionists, one trainee dental nurse and a practice manager.

We did not provide CQC comment cards on this occasion as the inspection was unannounced. We did speak with patients and review feedback that practice had received through the NHS Friends and family test (FFT).

Our key findings were:

• The practice was visibly clean and tidy.

• Records showed there were sufficient numbers of suitably qualified staff to meet the needs of patients.

• Patients at the practice gave mostly positive feedback about their experiences at the practice.

• Patients at the practice gave mostly positive feedback about their experiences at the practice however some patients said they were not always treated with dignity and respect.

• The practice was well equipped.

• Dentists identified the different treatment options, and discussed these with patients.

• Patients’ confidentiality was maintained.

• The practice followed the relevant guidance from the Department of Health's: ‘Health Technical Memorandum 01-05 (HTM 01-05) for infection control with regard to cleaning and sterilising dental instruments. Apart from consistent use of the illuminated magnifying glass to ensure that all instruments were free of debris and undamaged.

• The practice had the necessary equipment for staff to deal with medical emergencies, and staff had been trained how to use that equipment. This included an automated external defibrillator, oxygen and emergency medicines.

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

 • Review its responsibilities to the needs of people with a   disability  and the requirements of the equality Act 2010 and   consider installing a hearing induction loop at the premises. This would assist patients who used a hearing loop to hear whilst in the practice.

  • Review the use of the illuminated magnifying glass when processing instruments giving due regard to HTM 01-05 for its consistent use.
  • Review the process following sterilisation and ensure that all pouches used to store instruments are dated.
  • Arrange for HSE notification to be obtained and then included in the radiation protection file
  • Review the practices processes for appraisal of staff and the identification of training needs
  • Review staff training in relation to the Mental Capacity Act 2005
  • Create a whistleblowing policy to guide staff should they wish to raise a concern regarding a colleagues performance
  • Review the processes for sharing information with staff to ensure all staff receive information and feedback in a timely way