You are here

Archived: Bridgeways Dental Practice

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Updated 3 March 2016

We carried out an announced comprehensive inspection on 18 January 2016 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.

Background

Bridgeways Dental Practice is a private practice providing treatment for both adults and children. The practice is situated in a converted domestic property. The practice has two dental treatment rooms and a separate decontamination room for cleaning, sterilising and packing dental instruments. Dental care is provided on two floors with a reception and waiting area on the ground floor.

The practice is open between 8.00am and 5.30pm on Monday and Tuesday and between 8:30am and 7.30pm on Thursday. The practice is closed Wednesday and Friday. Saturday appointments are available by appointment only. The practice has one dentist who is supported by two dental nurses of whom one is also the practice manager, a dental hygienist and a receptionist.

The owner of the practice is the registered manager. 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. The registered manager was supported in their role by the lead dental nurse.

Before the inspection we sent Care Quality Commission comment cards to the practice for patients to complete to tell us about their experience of the practice. We received feedback from 24 patients. These provided a positive view of the services the practice provides. Patients commented on the high quality of care, the caring nature of all staff, the cleanliness of the practice and the overall high quality of customer care.

Our key findings were:

  • The practice ethos was to provide high quality patient centred care at all times
  • Staff had been trained to handle emergencies; appropriate medicines and life-saving equipment was readily available in accordance with current guidelines.
  • The practice was clean and well maintained.
  • Infection control procedures were robust and the practice followed published guidance.
  • The practice had a dedicated safeguarding lead professional and effective safeguarding processes in place for safeguarding adults and children living in vulnerable circumstances.
  • Staff reported incidents and kept records of these which the practice used for shared learning.
  • The dentist and dental hygienist provided dental care in accordance with current professional guidelines
  • The service was aware of the needs of the local population and took these into account in how the practice was run.
  • Patients could access treatment, urgent and emergency care when required.
  • The practice had a dentist who could provide a range of more specialised services including dental implants and orthodontics and there were enough supporting staff to deliver the services on offer.
  • Staff had received training appropriate to their roles and was supported in their continuing professional development.
  • Staff we spoke with felt well supported by the practice owner who was committed to providing a quality service to their patients.
  • Information from 24 completed CQC comment cards gave us a positive picture of a friendly, caring, professional and high quality service.

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

  • Provide the hygienist with the chair side support of a dental nurse.
  • Secure the decontamination room to prevent unauthorised access.
  • Introduce a system to manage national patient safety alerts received by the practice.

Inspection areas

Safe

No action required

Updated 3 March 2016

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

The practice had robust arrangements for essential topics such as infection control, clinical waste control, management of medical emergencies at the practice and dental radiography (X-rays). We found all the equipment used in the dental practice was well maintained. The practice took their responsibilities for patient safety seriously and staff were aware of the importance of identifying, investigating and learning from patient safety incidents. There were sufficient numbers of suitably qualified staff working at the practice. Staff had received safeguarding training and were aware of their responsibilities regarding safeguarding children and vulnerable adults.

Effective

No action required

Updated 3 March 2016

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

The dental care provided was evidence based and focussed on the needs of the patients. The practice used current national professional guidance which included guidance from the National Institute for Health and Care Excellence to guide their practice. We saw examples of positive teamwork within the practice and evidence of good communication with other dental professionals. Staff received professional training and development appropriate to their roles and learning needs. Staff were registered with the General Dental Council and were meeting the requirements of their professional registration.

Caring

No action required

Updated 3 March 2016

We found that this practice was providing caring services in accordance with

the relevant regulations.

We collected 24 completed CQC patient comment cards and obtained the views of a further six patients on the day of our visit. These provided a positive view of the service the practice provided. All of the patients commented the quality of care was very good. Patients commented about the friendliness and helpfulness of the staff and told us all dentists were good at explaining the treatment or tests they proposed. All patients spoken with would recommend the practice to someone new to the area.

Responsive

No action required

Updated 3 March 2016

We found that this practice was providing responsive care in accordance with

the relevant regulations.

The service was aware of the needs of the local population and took these into account in how the practice was run. We asked six patients for their views which aligned with the CQC comment card feedback of a caring and effective practice. Patients commented the quality of care was very good. Patients could access treatment; urgent and emergency care when required. The practice had a portable ramp to access the building for patients with mobility difficulties and families with prams and pushchairs.

Well-led

No action required

Updated 3 March 2016

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

The practice owner, practice manager and other staff had an open approach to their work and shared a commitment to continually improving the service they provided. The practice had robust clinical governance and risk management structures in place. Staff told us they felt well supported and could raise any concerns with the practice manager. All the staff we met said the practice was a good place to work.