Updated 26 April 2022
We carried out this announced focused inspection on 21 March 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 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 adviser.
To get to the heart of patients’ experiences of care and treatment, we usually ask five key questions, however due to the ongoing COVID-19 pandemic and to reduce time spent on site, only the following three questions were asked:
• 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 dental clinic appeared to be visibly clean and well-maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
- The practice had systems to help them manage risk to patients and staff.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- Patients were treated with dignity and respect and staff 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.
- There was effective leadership and a culture of continuous improvement.
- Staff felt involved and 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 dental clinic had information governance arrangements.
- The practice had staff recruitment procedures which reflected current legislation. However, improvements were required to ensure that there were effective systems in place to store and manage records relating to staff employed.
- The clinical staff provided patients’ care and treatment in line with current guidelines. However, improvements were required to ensure that this was reflected suitably in the dental records.
Background
Bellegrove Dental Surgery is in Welling, in the London Borough of Bexley 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 parking for people with disabilities are available on site.
The dental team includes a principal dentist, four associate dentists, one hygienist, four qualified dental nurses, one trainee dental nurse, one receptionist, two practice managers and one administrative staff. The practice has three treatment rooms.
During the inspection we spoke with the principal dentist , one of the associate dentists, one dental nurse, both practice managers and the administrative staff. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Mondays, Thursdays and Fridays between 8.30am and 5.00pm
Tuesdays and Wednesdays between 8.30am and 8.00pm
Saturdays between 8.30am and 1.00pm