• Dentist
  • Dentist

The Broadway Dental Practice

23 Catford Broadway, Catford, London, SE6 4SN (020) 8690 3222

Provided and run by:
Dr. Faris Hussain

All Inspections

29 April 2022

During an inspection looking at part of the service

We undertook a follow up focused inspection of The Broadway Dental Practice on 29 April 2022. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We undertook a focused inspection of The Broadway Dental Practice on 9 September 2021 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing safe or well led care and was in breach of regulations 12 – Safe care and treatment and 17 – Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for The Broadway Dental Practice on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it safe?

• Is it well-led?

Our findings were:

Are services safe?

We found this practice was providing safe care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 9 September 2021.

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 9 September 2021.

Background

The Broadway Dental Practice is in Catford in the London Borough of Lewisham and provides NHS and private dental care and treatment for adult and children.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice for a fee. Local transport services are available nearby.

The dental team includes two principal dentists, two associate dentists and one visiting dentist, two dental nurses, a trainee dental nurse and a practice manager (who is also a qualified dental nurse and can provide nursing cover). The practice has two treatment rooms.

During the inspection we spoke with one of the principal dentists and one dental nurse. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

9.00 – 6.00pm Monday, Tuesday, Wednesday and Friday

9.00 – 8.00pm Thursdays

9.00 – 1.00pm Saturdays (one Saturday a month)

9 September 2021

During an inspection looking at part of the service

We undertook an announced focused follow up inspection of The Broadway Dental Practice on 9 September 2021. This review was carried out to follow up on the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a Care Quality Commission (CQC) inspector who was supported by a CQC specialist dental advisor.

We undertook a comprehensive inspection of The Broadway Dental Practice on 10 February 2020 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing safe or well led care and was in breach of regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook a desk- based review of The Broadway Dental Practice on 29 September 2020 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care and was in breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can read our report of that inspection by selecting the 'all reports' link for The Broadway Dental Practice on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it safe?

• Is it well-led?

When one or more of the five questions are not met we require the service to make improvements and send us an action plan (requirement notice only). We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

Our findings were:

Are services safe?

We found this practice was not providing safe care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded in full to the regulatory breaches we found at our inspection on 10 February 2020 and our desk-based review on 29 September 2020.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded in full to the regulatory breaches we found at our inspection on 10 February 2020 and our desk-based review on 29 September 2020.

Background

The Broadway Dental Practice is in Catford in the London Borough of Lewisham and provides NHS and private dental care and treatment for adult and children.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice for a fee. Local transport services are available nearby.

The dental team includes the principal dentists, three associate dentists and one visiting dentist, two dental nurses, a trainee dental nurse and a practice manager (who is also a qualified dental nurse and can provide nursing cover). Reception duties are covered by the practice manager. The practice has two 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.

The practice is open:

9.00 – 6.00pm Monday, Tuesday, Wednesday and Friday

9.00 – 8.00pm Thursdays

9.00 – 1.00pm Saturdays (one Saturday a month)

Our key findings were:

  • There were ineffective arrangements for dealing with medical emergencies
  • There were ineffective arrangements to monitor and improve infection prevention and control procedures and processes
  • There were ineffective systems to monitor staff training
  • There were ineffective systems to ensure relevant information is available regarding each person employed
  • There were ineffective governance arrangements for monitoring and improving quality and safety

We identified regulations the provider was not meeting. They must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
  • Ensure specified information is available regarding each person employed. Ensure where appropriate, persons employed are registered with the relevant professional body
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

Full details of the regulation the provider is not meeting are at the end of this report.

29 September 2020

During an inspection looking at part of the service

We undertook a desk-based review of The Broadway Dental Practice on 29 September 2020. This review was carried out to follow up on the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The review was led by a CQC inspector who had access to a specialist dental advisor.

We undertook a comprehensive inspection of The Broadway Dental Practice on 10 February 2020 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing safe or well led care and was in breach of regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for The Broadway Dental Practice on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it safe?

• Is it well-led?

When one or more of the five questions are not met we require the service to make improvements and send us an action plan (requirement notice only). We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

Our findings were:

Are services safe?

We found this practice was providing safe care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breaches we found during our desk-based review on 29 September 2020.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

The provider had made insufficient improvements to put right the shortfalls and had not responded in full to the regulatory breaches we found at our inspection on 10 February 2020.

Background

The Broadway Dental Practice is in Catford in the London Borough of Lewisham and provides NHS and private dental care and treatment for adult and children

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice for a fee. Local transport services are available nearby.

The dental team includes two principal dentists, two associate dentists, two dental nurses, a trainee dental nurse and a practice manager (who is also a qualified dental nurse and can provide nursing cover). Reception duties are covered by the practice manager and the dental nurse. The practice has two 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.

The practice is open:

9.00 – 6.00pm Monday, Tuesday, Wednesday and Friday

9.00 – 8.00pm Thursdays

9.00 – 1.00pm Saturdays (one Saturday a month)

Our key findings were:

We identified regulations the provider was not meeting. They must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Full details of the regulation the provider is not meeting are at the end of this report.

10 February 2020

During a routine inspection

We carried out this announced inspection on 10 February 2020 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 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 this practice was not providing safe care in accordance with the relevant regulations.

Are services effective?

We found this practice was providing effective care in accordance with the relevant regulations.

Are services caring?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found this practice was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

Background

The Broadway Dental Practice is in Catford in the London Borough of Lewisham 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 are available near the practice for a fee. Local transport services are available nearby.

The dental team includes two principal dentists, two associate dentists, two dental nurses, a trainee dental nurse and a practice manager (who is also a qualified dental nurse and can provide nursing cover). Reception duties are covered by the practice manager and the dental nurses. The practice has two treatment rooms.

The practice is owned by an individual who is one of 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 37 CQC comment cards filled in by patients.

During the inspection we spoke with one of the principal dentists, one of the associate dentists, both of the dental nurses, the trainee dental nurse and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

9.00 – 6.00pm Monday, Tuesday, Wednesday and Friday

9.00 - 8.00pm Thursday

9.00 -1.00pm Saturdays (one Saturday a month).

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • 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 safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children. Improvements were required with regards to the provider having an oversight of staff’s training.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available. Improvements were required with regards to carrying out regular checks to ensure medicines were within their use by date and ensuring availability of medical oxygen and equipment.
  • Improvements were required to the systems that helped the provider manage risk to patients and staff.
  • Improvements were required to the information governance arrangements.
  • Improvements were required with regards to following infection control procedures published guidance.

We identified regulations the provider was not complying with. They must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Full details of the regulations the provider was not meeting are at the end of this report.

There were areas where the provider could make improvements. They should:

  • Take action to ensure all clinicians take into account the guidance provided by the Faculty of General Dental Practice when completing dental care records.

21 March 2013

During a routine inspection

The Broadway Dental Practice was a clean and professionally managed dental practice. Staff had a strong focus on ensuring a positive experience for patients. The positive atmosphere among staff and patients was clear during our visit, where we observed very personal greetings among staff and patients. The practice was able to accommodate patients who use a wheelchair.

People who use the service were very positive in their reviews of the service and staff, and told us that all treatment options and associated costs were fully explained during their visits. There were suitable safeguarding and emergency arrangements in place in order to ensure patient safety.