Updated 10 November 2017
We carried out this announced inspection on 3 October 2017 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 CQC inspector who was supported by a specialist dental adviser.
We told the NHS England area team that we were inspecting the practice. They provided information which we took into account.
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 caring?
• Is it responsive to people’s needs?
• 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 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
Mr Jonathan Taylor – Bordesley Green dental practice is in Birmingham and provides NHS treatment to patients of all ages.
The premises are located on the first floor so access is limited for people who use wheelchairs and pushchairs. Car parking spaces are available near the practice.
The dental team includes two dentists and three dental nurses (one of whom is a trainee). The dental nurses also carry out reception duties. The dental team is supported by an administrative assistant who helps with administrative duties and visits the practice a few times per month. The practice has three treatment rooms.
The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.
On the day of inspection we collected 15 CQC comment cards filled in by patients and spoke with one other patient. This information gave us a positive view of the practice.
During the inspection we spoke with two dentists, two dental nurses and the administrative assistant. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open between 9am and 5:30pm on Mondays, Wednesdays and Thursdays. It is open between 9am and 6pm on Tuesdays and between 9am and 4pm on Fridays.
Our key findings were:
- The practice was clean and well maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available with the exception of a few items which were promptly ordered.
- The practice had systems to help them manage risk.
- The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
- The practice had staff recruitment procedures.
- The clinical staff provided patients’ care and treatment in line with current guidelines. Dental care record keeping required improvements as they were not sufficiently detailed.
- Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
- The appointment system met patients’ needs.
- The practice had effective leadership. Staff felt involved and supported and worked well as a team.
- The practice asked staff and patients for feedback about the services they provided.
- The practice dealt with complaints positively and efficiently.