The Care Quality Commission
  • Dentist
  • Dentist

Archived: Rookery Road Dental Surgery

220 Rookery Road, Handsworth, Birmingham, West Midlands, B21 9QG (0121) 554 3622

Provided and run by:
Dr. Dalbier Singh

All Inspections

26 April 2016

During a routine inspection

We carried out an announced comprehensive inspection on 26 April 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

Rookery Road Dental Surgery is a mixed dental practice providing NHS and private dental treatment for both adults and children. The service is provided by two dentists. They are supported by a practice manager (who works part-time at this practice) and two dental nurses. The dental nurses also carry out reception duties.

The practice can accommodate patients with restricted mobility. The premises consist of a reception area, waiting room, toilet facilities, one treatment room and a staff room on the ground floor. The first floor comprises of two treatment rooms, a decontamination room and toilet facilities for staff. There is also an office on the second floor. There is free parking near the practice. Opening hours are from 9:30am to 4pm from Monday to Friday.

The provider is registered with the Care Quality Commission (CQC) as an individual. 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.

Two patients provided feedback about the practice. Although we sent comment cards to the practice ahead of our inspection none had been completed. We spoke with patients on the day of the inspection. Overall the information from patients was complimentary. Patients were positive about their experience and they commented that staff were polite and good with children.

Our key findings were:

  • Equipment for dealing with medical emergencies mainly followed published guidance. We highlighted areas of improvement and these were dealt with promptly.
  • The practice was visibly clean on the day of our visit.
  • Patients were able to make routine and emergency appointments when needed.
  • Patients’ care and treatment was planned and delivered in line with evidence based guidelines, best practice and current legislation.
  • Staff demonstrated knowledge of whistleblowing and safeguarding and were confident they would raise concern if necessary.
  • Patients told us they found the staff polite.
  • Staff received training appropriate to their roles.
  • The practice had a complaints system in place.
  • Staff told us they felt well supported and comfortable to raise concerns or make suggestions.
  • The practice demonstrated that they regularly undertook audits in infection control and radiography. No learning points had been documented.
  • An infection control policy was in place and procedures followed mainly reflected published guidance. We highlighted areas requiring improvement.

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

  • Review stocks of medicines and equipment and the system for identifying and disposing of out-of-date stock.
  • Review the practice’s infection control procedures and protocols giving due regard to guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices and The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance.
  • Review its responsibilities as regards to the Control of Substance Hazardous to Health (COSHH) Regulations 2002 and, ensure all documentation is up to date and staff understand how to minimise risks associated with the use of and handling of these substances.
  • Review the practice’s protocols of various aspects of the service at regular intervals to help improve the quality of service. A robust system should be used to monitor and mitigate risks arising from undertaking of the regulated activities. The practice should also check all audits have documented learning points and the resulting improvements can be demonstrated.
  • Review the practice's recruitment policy and procedures to ensure recruitment checks for new staff are suitably obtained and recorded.

6 May 2014

During an inspection looking at part of the service

At our last inspection in January 2014, we found that instruments were not always visually clean. This meant that people could potentially be at risk of cross infection from contaminated instruments. We also found that people's care and treatment records were not accurate or did not clearly illustrate the treatment options or advice given to them. At the time of the inspection we judged that this had a minor impact on people who used the service. We set compliance actions and told the provider to take action.

The purpose of this inspection was to see if improvements had been made since our last inspection in January 2014. We gave the provider short notice so that any disruption to people's care and treatment were minimised. During our inspection we spoke with the provider who was also a dentist as well as the practice manager and a dental nurse.

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Care and treatment was planned and delivered in a way that ensured people's safety and welfare.

People were protected from the risk of infection because appropriate guidance had been followed.

The provider had a system in place to ensure only suitable staff were employed.

People were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

14 January 2014

During a routine inspection

We carried out this inspection to check on the treatment of people. Following the inspection we conducted telephone interviews with four people. On the day of the inspection we spoke to two members of staff, the dentist who was also the owner and the practice manager.

The practice consisted of a reception/waiting area, three treatment rooms with one on the ground floor with accessible toilet facilities and a decontamination area. The practice had a ramp to support people with mobility issues into the practice which met with the disability discrimination act (DDA).

Records showed that consent was not always consistently recorded for adults and children. People told us that their consent was given.

We found that people's treatment was planned and recorded in a treatment plan. One person said, "I have been coming to the practice for years and it's a good service".

We found that instruments were not always visually clean. This meant that people could potentially be at risk of cross infection from contaminated instruments.

The provider had a system in place to ensure suitable staff were employed. One person said, "The staff are nice and friendly".

The provider had a system in place so people could share any concerns they had.

We found that people's treatment records were not accurate or clearly illustrated the treatment options or advice given to them.