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Sovereign House Specialist Dental Centre Also known as Formerly Dr Lesely Pantlin

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Updated 28 December 2018

We carried out this announced inspection on 11 December 2018 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.

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

Sovereign House Specialist Dental Centre is in Brentwood, Essex and is a private specialist dental practice; their services include dental implants, dental implant solutions, oral surgery, maxillofacial Surgery, sedation services and some children's dentistry. The practice provides private orthodontic treatments. The practice also provides a tongue tie release service.

The practice is situated on the first floor. Car parking spaces, including spaces for blue badge holders, are available in local car parks near the practice. Patients who require wheelchair access are referred to one of two sister practices with level access.

The dental team includes nine dentists; whose specialisms include Periodontics, Endodontics, Orthodontics, Oral Surgery and Maxillofacial Surgery. They are supported by two hygienists, four dental nurses, two receptionists and one practice manager. The practice has three treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers 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 registered manager at Sovereign House Specialist Dental Centre is the principal dentist.

On the day of inspection, we collected 27 CQC comment cards filled in by patients and spoke with one other patient.

During the inspection we spoke with one dentist, two dental nurses, one receptionist and the practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open: Monday to Friday from 9am to 5.30pm and Wednesday from 9am to 6.30pm. We were told the practice often opened at weekends to accommodate urgent appointments.

Our key findings were:

  • Effective leadership was provided by the principal dentist and an empowered practice management team.
  • Staff we spoke with felt well supported by the principal dentist and practice manager and were committed to providing a quality service to their patients by ensuring their patients were their main priority.
  • The practice appeared clean and well maintained.
  • The practice had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Emergency equipment and medicines were mostly available as described in recognised guidance. There was no size 4 airway and the size 4 clear face mask was also missing. There was no buccal midazolam available, a medicine used to treat a number of conditions including seizures. The practice confirmed these had been purchased following the inspection.
  • The practice had systems to help them manage risk.
  • The practice staff had embedded safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • 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.
  • The practice was providing preventive care and supporting patients to ensure better oral health.
  • The appointment system met patients’ needs.
  • The practice had effective leadership and culture of continuous improvement. Staff felt involved and supported and worked well as a team.
  • The practice staff dealt with complaints positively and efficiently.
  • The practice had a strong culture of continuous improvement and development.
  • The practice asked staff and patients for feedback about the services they provided. Results of feedback were analysed and discussed at staff meetings to share learning. We noted feedback from patients and other clinical professionals was wholly positive.

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

  • Review the availability of equipment in the practice to manage medical emergencies taking into account the guidelines issued by the Resuscitation Council (UK) and the General Dental Council.
Inspection areas

Safe

No action required

Updated 28 December 2018

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

The practice had systems and processes to provide safe care and treatment. They used learning from incidents and complaints to help them improve. There was scope to include a wider range of incidents as significant events to ensure all training needs were identified and to prevent such occurrences happening again in the future.

Staff received training in safeguarding and knew how to recognise the signs of abuse and how to report concerns. Emergency equipment and medicines were mostly available as described in recognised guidance. There was no size 4 airway and the size 4 clear face mask was also missing. There was no buccal midazolam available, a medicine used to treat a number of conditions including seizures. The practice confirmed these had been purchased following the inspection.

Staff were qualified for their roles and the practice completed essential recruitment checks.

Premises and equipment were clean and properly maintained. We saw there was a small carpeted area under a desk in one treatment room, but noted this had been scheduled for replacement along with the treatment room flooring in early 2019. The practice followed national guidance for cleaning, sterilising and storing dental instruments.

The practice had suitable arrangements for dealing with medical and other emergencies. We noted the external clinical waste bin had not been secured. During the inspection the practice took immediate action to ensure this was secured. We noted the practice was not signed up to receive all external safety alerts as well as patient and medicines safety alerts. The practice took immediate action during the inspection to ensure this was in place.

Effective

No action required

Updated 28 December 2018

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

The dentists assessed patients’ needs and provided care and treatment in line with recognised guidance. Patients described the treatment they received as very good, excellent and of a high standard. The dentists discussed treatment with patients so they could give informed consent and recorded this in their records.

The practice had clear arrangements when patients needed to be referred to other dental or health care professionals.

The practice supported staff to complete training relevant to their roles and had systems to help them monitor this.

The staff were involved in quality improvement initiatives such as the British Dental Association (BDA) good practice scheme. This was a quality assurance programme used to demonstrate the practice was working to high standards of good practice on professional and legal responsibilities.

Caring

No action required

Updated 28 December 2018

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

We received feedback about the practice from 28 people. Patients were positive about all aspects of the service the practice provided. They told us staff were attentive, kind and professional.

They said that they were given helpful, informed and thorough explanations about their treatment and said their dentist listened to them. Patients commented that they made them feel at ease, especially when they were anxious about visiting the dentist.

We saw that staff protected patients’ privacy and were aware of the importance of confidentiality. Patients said staff treated them with dignity and respect.

Responsive

No action required

Updated 28 December 2018

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

The practice’s appointment system was efficient and met patients’ needs. Patients could get an appointment quickly if in pain.

Staff considered patients’ different needs. This included providing facilities for disabled patients and families with children. The practice had access to internet interpreter services and had arrangements to help patients with sight or hearing loss.

The practice took patients views seriously. They valued compliments from patients and responded to concerns and complaints quickly and constructively.

Well-led

No action required

Updated 28 December 2018

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

The practice had arrangements to ensure the smooth running of the service. These included systems for the practice team to discuss the quality and safety of the care and treatment provided. There was a clearly defined management structure and staff felt supported and appreciated.

The practice team kept complete patient dental care records which were, clearly written or typed and stored securely.

The practice monitored clinical and non-clinical areas of their work to help them improve and learn. This included asking for and listening to the views of patients and staff.