Davidoff Dental Surgery - Stamford Hill

We carried out this announced comprehensive inspection on 20 September 2022 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 asked 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:

• The dental clinic was visibly 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 help them manage risk to patients and staff.
• 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.
• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Patients were treated with dignity and respect and staff 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.
• There was effective leadership and a culture of continuous improvement.
• Staff felt involved and supported and worked as a team.
• Staff and patients were asked for feedback about the services provided.
• The dental clinic had information governance arrangements.

We identified an area of notable practice:

• The practice manager had identified the presenting needs of the local demographic and developed an in-house oral health promotion programme for children. This was focused on the prevention of dental decay linked with high sugar diets, and high sugar intake associated with religious festivals and celebrations. Many children in the area did not speak English as a first language, therefore readily available health education leaflets were not always suitable for use. The practice manager delivered the oral health education sessions in their native language and provided leaflets to share with family members and in schools. Models, videos and age appropriate science experiments were utilised throughout the programme for further understanding of how diet was linked to oral health.

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

• 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.

Background

Davidoff Dental Care – Stamford Hill is in the London Borough of Hackney and provides NHS and private dental care and treatment for adults and children.

There is ramp access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice.

The team consists of 6 dentists, 2 hygienists, 5 qualified dental nurses and 2 trainee dental nurses. They are supported by a practice manager, 3 receptionists and an administrator. The practice has 4 treatment rooms.

During the inspection we spoke with 3 dentists, the practice manager and a dental nurse. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Thursday from 9am to 5pm.

Friday from 9am to 3pm.

Sunday from 9am to 4pm.