• Dentist
  • Dentist

Howard Stean - Mortlake Road Kew

103 Mortlake Road, Kew, Richmond, Surrey, TW9 4AA (020) 8876 4542

Provided and run by:
Dr. Howard Stean

All Inspections

18/11/2022

During an inspection looking at part of the service

We undertook a follow up focused inspection of Howard Stean-Mortlake Road Kew on 18 November 2022. This inspection was carried out to review in detail 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 was supported by a specialist dental adviser.

We undertook a comprehensive inspection of Howard Stean - Mortlake Road Kew on 1 July 2022 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 safe or well led care and was in breach of regulations 12, 17 and 18 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 Howard Stean -Mortlake Road Kew dental practice on our website www.cqc.org.uk.

When one or more of the five 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 areas where improvement was required.

As part of this inspection we asked:

• Is it safe?

• Is it well-led?

Our findings were:

Are services safe?

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

The provider had made improvements in relation to the regulatory breach we found at our inspection on 1 July 2022

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 1 July 2022.

Background

Howard Stean -Mortlake Road Kew is in the London Borough of Richmond-upon-Thames and provides private dental care for a small selection of long-standing adult patients.

There is level access to the practice for people who use wheelchairs and those with pushchairs. Dedicated car parking spaces, including some for disabled people, are available in the neighbouring retail park near the practice.

The dental team is comprised of the principal dentist and a dental nurse. The practice has 1 treatment room.

During the inspection we spoke with both members of staff. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Thursday 9am to 1pm

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

Improve the practice's processes for the control and storage of substances hazardous to health identified by the Control of Substances Hazardous to Health Regulations 2002, to ensure risk assessments are undertaken and the products are stored securely.

01 July 2022

During an inspection looking at part of the service

We carried out this announced focused inspection on 01 July 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 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 adviser.

To get to the heart of patients’ experiences of care and treatment, we usually ask five key questions, however due to the ongoing COVID-19 pandemic and to reduce time spent on site, only the following three questions were asked:

• Is it safe?

• Is it effective?

• 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.
  • 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.
  • Staff felt involved and supported and worked as a team.
  • The dental clinic had information governance arrangements.
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children. However, not all staff had undertaken appropriate training.
  • The practice had infection control procedures which largely reflected published guidance.
  • Staff knew how to deal with medical emergencies although further training was needed. Not all medicines and life-saving equipment were available.
  • The practice had staff recruitment procedures which reflected current legislation; however, staff records were incomplete.
  • The practice had some systems to help them manage risk to patients and staff; however, these were not documented effectively.
  • There were systems to support continuous improvement, but these could be reinforced.
  • There were ineffective systems to ensure that staff were up to date with their training.
  • Risks to staff and patients from undertaking regulated activities had not been suitably identified and mitigated.

Background

Howard Stean - Mortlake Road Kew is in Richmond-upon-Thames and provides private dental care and treatment for a small selection of long-standing adult patients

There is level access to the practice for people who use wheelchairs and those with pushchairs. Dedicated car parking spaces, including some for disabled people, are available in the neighbouring retail park near the practice.

The dental team includes one dentist and one dental nurse. The practice has one treatment room.

During the inspection we spoke with the principal dentist and the 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

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

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties

Full details of the regulations the provider was not meeting are at the end of this report.

18 January 2013

During a routine inspection

We spoke with three people who used the service and they told us that they were pleased with the service they received, calling it "a professional service". Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. We looked at consent forms which outlined the treatment people had received and these had been signed. We also looked at treatment plans and records and found these were current and had been recently reviewed. Someone told us "the service is excellent, I wouldn't go anywhere else". Another person said "It's always spotless, very clean". Another person said "everything is fully explained for me and I can ask questions too".

Staff had received the necessary checks and were aware of child protection and vulnerable adult issues, having received recent training. We saw the cleaning process and were able to ask questions about the cleaning and sterilization of equipment, including how instruments were stored. There were effective systems in place to reduce the risk and spread of infection.

Both dental and nursing staff were involved in lecturing, training and education of colleagues and we were informed of a study forum which met regularly to discuss developments and changes within dentistry. The practice worked with a select group of people to deliver aesthetic dental care, many of whom had written personal cards and letters of gratitude, following their treatment.