Chris Bird Dental Care Limited

Updated 19 November 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We carried out an announced, comprehensive inspection on 24 September 2015 by a CQC inspector and a dentist specialist advisor. Before the inspection we reviewed information we held about the provider and information that we asked them to send us in advance of the inspection. During our inspection visit, we reviewed a range of policies and procedures and other documents including dental care records. We spoke with four members of staff, including the management team. We looked around the premises including the treatment rooms. We looked at the storage arrangements for emergency medicines and equipment. We observed the dental nurse carrying out decontamination procedures of dental instruments and also observed staff interacting with patients in the waiting area.

We reviewed 25 Care Quality Commission (CQC) comment cards completed by patients and reviews posted on the NHS Choices website. Patients gave extremely positive views about the care and experience of the practice. 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 therefore formed the framework for the areas we looked at during the inspection.

Updated 19 November 2015

We carried out an announced comprehensive inspection on 24 September 2015 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

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.

Chris Bird Dental Care Limited provides NHS and private dental treatment. The majority of patients at the practice are private, 1800, and there were 560 NHS patients. The practice is situated in Cannock Chase, Staffordshire. Chris Bird Dental Care Limited has a principal dentist who works four days per week and a dental associate who works three days per week. The practice team includes a dental hygienist, two dental therapists, three dental nurses and a trainee dental nurse. The practice is supported by a practice manager and a business manager.

The practice has been built to the providers’ specification and had been subject to recent refurbishment. The treatment room surgeries are fully equipped and the airy reception area enables patient privacy with distance between the reception desk and the waiting room area. The reception area and waiting room are on the ground floor. The main entrance to reception is accessible to patients with restricted mobility. The practice has three dental treatment rooms, two to the ground floor and the other accessible via stairs to the first floor. The practice has a separate room which provides a spacious area for the decontamination and cleaning, sterilising and packing of dental instruments.

Before the inspection we sent Care Quality Commission (CQC) comment cards to the practice for patients to use to tell us about their experience of the practice. We collected 25 completed cards. These provided extremely positive views of the service the practice provides. Patients told us the practice was excellent and that the dentists were professional, caring, understanding of their anxieties, thorough and helpful and went above and beyond their expectations. Several patients specifically commented that the dentists put them at ease and had allayed their fears. We spoke with four staff members all understood the needs of their patients living with dementia illnesses and those with learning disabilities. They understood their responsibilities under the Mental Capacity Act (2005).

The business is operated by a private limited company, Chris Bird Dental Care Limited. The practice has a registered manager with the CQC. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

Our key findings were:

• The practice had systems for dealing with significant events and accidents and staff understood their responsibilities for providing a safe service.

• The practice was visibly clean and had processes to help staff manage infection prevention and control effectively.

• The practice had systems, medicines and equipment for the management of medical emergencies and staff were trained to know how to deal with these.

• The practice had safeguarding processes and staff understood their responsibilities for safeguarding adults and children.

• Clinical records included the essential information expected about patients’ care and treatment including treatment plans and consent to care and treatment.

• The practice was committed to staff education and development. Staff received training appropriate to their roles and were encouraged and supported in their continued professional development (CPD).

• The practice received very few complaints but had a clear system for handling and responding to these.

• Patients who completed Care Quality Commission comment cards were pleased with the care and treatment they or their family member received and were complimentary about the whole practice team.

• The practice had well organised governance and leadership arrangements and an open door policy which made staff feel valued and listened to.

• The practice had open and supportive leadership and staff were happy in their roles, professional and enthusiastic.

There were areas where the provider could make improvements and should:

• Record patients’ current GP details within the care records and consistently update the health promotion advice given to patients.

• Check the oxygen cylinder expiry date on a regular basis.

• Consider on recruitment staff vaccination histories in full, including rubella.