• Dentist
  • Dentist

Archived: No Worries Dentistry

1 Ambleside, Harlescott, Shrewsbury, Shropshire, SY1 4ET (01743) 465473

Provided and run by:
Mr. David Barke

Important: The provider of this service changed. See new profile

All Inspections

1 May 2014

During an inspection in response to concerns

We carried out this responsive inspection with a dental clinical adviser after we received concerns from members of staff who worked at No Worries Dentistry. We were told that dental nurses were asked to provide support to patients undergoing intravenous conscious sedation. Staff told us that they had not received appropriate training to provide this support. Intravenous sedation is carried out for patients who are very nervous of dental treatment.

We spoke with one patient at the time of our visit. They told us that they had been coming to this dentist for many years and their experience of the staff and treatment they received had been positive.

We spoke with the practice manager about the concerns we received. We found that the provider had taken appropriate action to address the whistleblowing concerns raised by the staff. We found that the practice had addressed the concerns of the whistle-blowers and looked at providing suitable training related to conscious sedation. A meeting had been held to discuss the concerns. The practice manager told us that she was due to start a 12 month course in sedation in September 2014. The practice had also suspended conscious sedation treatments until further notice. The practice manager told us that there were a number of ongoing staffing issues which have been difficult to resolve. The manager told us that these issues were being addressed.

10 December 2012

During a routine inspection

We carried out this inspection to review the compliance actions which we issued in March 2012 and to check on the care and welfare of people using this service. We spoke with six people who used the service and six staff from different disciplines. We consulted the local primary care trust (PCT) prior to and after our inspection to receive feedback about the service.

Most people we spoke with said they were satisfied with the service they received and would recommend the practice to family and friends. One person told us, 'My dentist is excellent, that's why I keep coming back'. One person who required urgent treatment told us the practice was prompt in seeing them. Some people told us that their appointments had been cancelled on a number of occasions or had to be seen by an alternative dentist due to unplanned absence.

Most people told us they felt involved in planning their treatment. Others considered this was an area for improvement. Staff demonstrated a good understanding of how to support people who were anxious about their treatment.

Arrangements for the safe management of infection control had improved to reduce the risk of cross infection.

People told us there were enough staff available at the practice. Staff considered they were provided with good training opportunities and were supported in their role.

Quality audits had been introduced to assess and monitor the quality of the service.

12 March 2012

During a routine inspection

As part of our review we spoke with seven people who used No Worries Dentistry to gain their experiences of the service they received. People we spoke with included two families, people who were nervous, had received extensive treatment, were new to the practice, or had attended the practice since it first opened in 2005.

People we spoke with told us they were satisfied with the service they received. One person said, 'It's far better than any other practice I've had in the past.' People told us they were seen on time and were involved in their treatment. They said staff were friendly and welcoming except for one person who reported they had been spoken to in a 'rude' manner on one occasion.

Three people commented there had been a high staff turnover and their appointments had been cancelled on a number of occasions, sometimes at very short notice. Five people told us they had been seen by different dentists and not been forewarned of the change prior to attending for their appointment. One person said, 'I turned up for an appointment and was told it had been cancelled. I had to then wait two weeks before I got another appointment, despite being in pain.' Other people said they had been seen at short notice if they were in pain. One person told us they had requested to change to another dentist within the practice as they considered their treatment had not been carried out as it should have been.

People said they had not received any unnecessary treatment. No one said they had received a copy of their treatment plan detailing their treatment and charges. People told us they had completed a health questionnaire when they first registered with the practice and were asked at each appointment if there had been any changes to their health or any prescribed medication.

People said the practice was always clean and they were satisfied with the standard of cleanliness and hygiene. They told us that clinical staff always wore personal protective clothing such as gloves and eye protection. We found a large amount of instruments in two of the three surgeries that were not dated when sterilised and not all daily checks for checking surgeries for cleanliness were in place. This did not ensure people using the service were protected from the risk of cross infection. Some staff were not complying with the infection control policy in place.

We saw that not all complaints received had been satisfactorily investigated. This did not assure people that their concerns would be listened to and acted on effectively. We found there were insufficient systems in place for the assessment and monitoring of the quality of the service. This meant that people could not be confident that the practice was run safely and effectively.