• Dentist
  • Dentist

Berkeley Dental Practice

59 Berkeley Avenue, Cranford, Hounslow, Middlesex, TW4 6LE (020) 8897 8551

Provided and run by:
Dr. Joginder Singh Sethi

All Inspections

20/12/2023

During an inspection looking at part of the service

We undertook a follow up focused inspection of Berkeley Dental Practice on 20 December 2023. This inspection was carried out to review 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 had remote access to a specialist dental advisor.

We had previously undertaken a comprehensive inspection of Berkeley Dental Practice on 17 May 2023 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 regulations 17 and 19 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 Berkeley Dental Practice dental practice on our website www.cqc.org.uk.

When 1 or more of the 5 questions are not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the area where improvement was required.

As part of this inspection we asked:

  • Is it well-led?

Our findings were:

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 17 May 2023.

Background

Berkeley Dental Practice is in the London Borough of Hounslow 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, including dedicated parking for disabled people, are available at the practice. The practice has made reasonable adjustments to support patients with specific needs.

The dental team includes 4 dentists, 1 qualified dental nurse, 2 trainee dental nurses, 1 dental hygienist, 1 practice manager and 1 receptionist. The practice has 2 treatment rooms.

During the inspection we spoke with the principal dentist, the qualified dental nurse and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday to Friday from 9.30am to 5.30pm

Saturday from 9.30am to 1pm

17/05/2023

During a routine inspection

We carried out this announced comprehensive inspection on 17 May 2023 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 practice 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 advisor.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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:

  • The dental clinic appeared clean and well-maintained.
  • The practice had infection control procedures which reflected published guidance.
  • Staff knew how to deal with medical emergencies. However, not all of the life-saving equipment was available as per national guidelines. Following the inspection, the provider took timely action to rectify this.
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • Clinical staff provided patients’ care and treatment in line with current guidelines.
  • Patients were treated with dignity and respect.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system worked efficiently to respond to patients’ needs.
  • The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
  • There was effective leadership and a culture of continuous improvement.
  • Staff felt involved, supported and worked as a team.
  • Staff and patients were asked for feedback about the services provided.
  • Complaints were dealt with positively and efficiently.
  • Improvements were needed to the systems to help the provider manage risk to patients and staff.
  • The practice did not have staff recruitment procedures which reflected current legislation.
  • Improvements were needed to the Information Governance policy to take account the General Data Protection Regulation (GDPR) 2018 requirements.

Background

Berkeley Dental Practice is in the London Borough of Hounslow and provides NHS and or private dental care and treatment for adults and children.

There is step free access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available at the practice. The practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 4 dentists, 1 qualified dental nurse, 2 trainee dental nurses, 2 dental hygienists, 1 practice manager and 1 receptionist. The practice has 2 treatment rooms.

During the inspection we spoke with the principal dentist, an associate dentist, the dental nurse, 1 receptionist and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday to Friday from 9.30am to 5.30pm

Saturday from 9.30am to 1pm

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

  • 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.

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:

  • Implement an effective system for monitoring and recording the fridge temperature to ensure that medicines and dental care products are being stored in line with the manufacturer’s guidance.
  • Improve the practice's protocols and procedures for the use of X-ray equipment in compliance with The Ionising Radiations Regulations 2017 and Ionising Radiation (Medical Exposure) Regulations 2017 and taking into account the guidance for Dental Practitioners on the Safe Use of X-ray Equipment.

Implement practice protocols and procedures to ensure staff are up to date with their mandatory training and continuing professional development.

7 March 2013

During a routine inspection

We spoke with the dentist, a dental nurse and the practice manager during our inspection visit. We also spoke with two patients who were satisfied with the care and treatment they received. They told us that they were given information about the treatment options available to them, the cost of these and said they were given time to make a decision that was right for them.

People told us they were asked about their medical history and we saw that people were given advice and information about lifestyle choices that may be affecting their oral health. The surgery had planned for foreseeable emergencies and staff told us that they had received training for dealing with medical emergencies.

The patients spoken with told us they were very happy with the care and treatment they received. One patient said, "the dentist is quite jolly and always puts a positive spin on things" and another said, "I trust the dentist here, I definitely wouldn't go anywhere else".

The practice was clean at the time of our visit and the patients we spoke with said that the service was always clean when they attended an appointment. One patient said, "It is always spotless".

Staff received ongoing training and support to ensure they were able to meet patient's needs effectively

The practice had a complaints management system in place and information about how to make a complaint was displayed in the reception area.