• Dentist
  • Dentist

Brock Street Dental Practice Limited

8 Brock Street, Lancaster, Lancashire, LA1 1UU (01524) 37324

Provided and run by:
Brock Street Dental Practice Limited

All Inspections

01 July 2020

During an inspection looking at part of the service

We undertook a follow up desk-based inspection of Brock Street Dental Practice on the 01 July 2020. 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 undertaken by a CQC inspector who had remote access to a specialist dental adviser.

We undertook a comprehensive inspection of Brock Street Dental Practice on 27 February 2020 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 well led care and was in breach of regulation 17 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 Brock Street Dental Practice dental practice on our website .

As part of this inspection we asked:

•Is it well-led?

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.

This desk-based inspection was undertaken during the Covid 19 pandemic. Due to the demands and constraints in place because of Covid 19 we reviewed the action plan and asked the provider to confirm compliance after a reasonable interval, focusing on the area where improvement was required.

Our findings were:

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 breach we found at our inspection on 27 February 2020.

Background

Brock Street Dental Practice (BSDP) is in Lancaster and provides NHS and private dental care and treatment for adults and children.

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

The dental team includes seven dentists, seven dental nurses, one dental hygienist, one dental hygiene therapist, one receptionist and a practice manager. The practice has six treatment rooms two of which are situated on the ground floor.

The practice is owned by a company and as a condition of registration must have a person registered with the CQC as the registered manager. Registered managers 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 at BSDP is the principal dentist.

The practice is open:

Monday 08:30 - 19:00

Tuesday 08:30 - 17:30

Wednesday 08:00 - 16:30

Thursday 08:30 - 18:00

Friday 08:30 - 16:45

Our key findings were :

  • The process for decontamination of dental instruments was in accordance with published guidance, the system for infection control and Legionella procedures had been improved.
  • All appropriate medicines and life-saving equipment were available.
  • Information held in the practice regarding hazardous substances had been improved.

The provider had staff recruitment procedures which reflect current legislation.

27 February 2020

During a routine inspection

We carried out this announced inspection on 27 February 2020 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 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 form the framework for the areas we look at during the inspection.

Background

Brock Street Dental Practice (BSDP) is in Lancaster and provides NHS and private dental care and treatment for adults and children.

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

The dental team includes seven dentists, seven dental nurses, one dental hygienist, one dental hygiene therapist, one receptionist and a practice manager. The practice has six treatment rooms two of which are situated on the ground floor.

The practice is owned by a company and as a condition of registration must have a person registered with the CQC as the registered manager. Registered managers 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 at BSDP is the principal dentist.

On the day of inspection, we collected 38 CQC comment cards filled in by patients.

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

The practice is open:

Monday 08:30 - 19:00

Tuesday 08:30 - 17:30

Wednesday 08:00 - 16:30

Thursday 08:30 - 18:00

Friday 08:30 - 16:45

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The process for decontamination of dental instruments was in accordance with published guidance, however the system for infection control procedures could be improved. In particular the legionella management system.
  • Staff knew how to deal with emergencies. Not all appropriate medicines and life-saving equipment were available.
  • The provider had systems to help them manage risks to patients and staff.
  • Staff awareness of the risks associated with sepsis was limited.
  • Information held in the practice regarding hazardous substances could be improved.
  • Staff awareness of actions to be taken in the event of a fire were limited.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures but these did not fully reflect current legislation.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • Staff awareness of the Mental Capacity Act and the use of Power of Attorney could be improved.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider did not have effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider dealt with complaints positively and efficiently.
  • The provider had information governance arrangements.

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

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

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

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

  • Implement an effective system for monitoring and recording the fridge temperature to ensure that medicines and dental care products are being stored in line with the manufacturer’s guidance.

  • Improve and develop staff awareness of the requirements of the Mental Capacity Act 2005 and ensure all staff are aware of their responsibilities under the Act as it relates to their role.

23 January 2013

During a routine inspection

We spoke with a range of people about the service they received. They included dentists, the Practice Manager, Dental Nurses, and people who used the service.

People we spoke with during the inspection told us they were very satisfied with the care provided and they saw their dentist regularly. They told us the service they received was excellent.

People said that the dentist always explained what he was planning to do, what he had found during examination and what the treatment options were. One person told us, 'The dentist always tells me what the options are before I decide what to do.'

We saw staff being friendly, respectful and polite when speaking to people. People told us they found staff approachable and supportive. One person said, 'The reception staff are great, always friendly'.

The practice facilities were clean and maintained. People were protected from the risk of infection because staff used protective clothing and carried out procedures safely.

Staff received regular training and support and were qualified, skilled and experienced. They told us they were very happy working at Brock Street dental practice and felt very well supported.