Updated 9 June 2023
We carried out this announced comprehensive inspection on 30 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. Appropriate medicines and life-saving equipment were available.
- The practice had systems to manage risks for patients, staff, equipment and the premises.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- The practice had staff recruitment procedures which reflected current legislation.
- Clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
- 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.
- The practice had information governance arrangements.
Background
Broxbourne Dental Practice is in Broxbourne, Hertfordshire and provides NHS and private dental care and treatment for adults and children.
The practice is situated on the first floor so there is no access for people who use wheelchairs and those with pushchairs. The practice signposts patients requiring ground floor access to a nearby practice. Car parking spaces, including dedicated parking for disabled people, are available near the practice. The practice has made reasonable adjustments to support patients with access requirements.
The dental team includes the principal dentist and 2 associate dentists, 1 of whom is a foundation dentist, 1 qualified dental nurse, 3 trainee dental nurses, 3 dental hygienists, and 2 receptionists. Governance support is provided by a visiting dental support advisor. The practice has 2 treatment rooms.
During the inspection we spoke with the principal dentist, 1 dental nurse, 1 receptionist and the dental support advisor. We looked at practice policies, procedures and other records to assess how the service is managed.
The practice is open:
Monday from 8am to 7pm
Tuesday from 8.30am to 7pm
Wednesday from 8am to 7.45pm
Thursday from 8.30am to 6.30pm
Friday from 8am to 5.30pm
Saturday 8am to 2pm.
The practice had taken steps to improve environmental sustainability by using digital X-ray systems to reduce the amount of radiation released into the environment and digitalised patient care records to reduce paper usage as far as possible.