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Mydentist - High Street - Petersfield

Inspection Summary

Overall summary & rating

Updated 24 November 2016

Further to the outcome of a previous inspection, carried out in November 2015, we carried out an announced focused inspection relating to the safe and well led provision of services on 2 August 2016 to ask the practice the following key questions;

Are services safe in relation to staff recruitment and safeguarding training?

Our findings were:

Are services safe?

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


CQC inspected the practice on 20 November 2015 and asked the provider to make improvements regarding:

  • Regulation 18 HSCA (RA) Regulations 2014 Staffing

  • Regulation 19 HSCA (RA) Regulations 2014 Fit and Proper Persons employed

We checked these areas as part of this focused inspection and found these had been resolved.

High Street Dental Centre is a dental practice providing mainly NHS and some private treatment and caters for both adults and children. The practice is situated in a converted commercial property. The practice has four dental treatment rooms and a separate decontamination room for cleaning, sterilising and packing dental instruments for the three dental treatment rooms on the first floor and a reception and waiting area. One of the dental treatment rooms is situated on the ground floor enabling disabled access. To facilitate access to this treatment room, a hydraulic lift is in place to help wheelchair users and other patients with mobility impairments negotiate the two steps leading to this treatment room.

The practice has six dentists, of which one is on maternity leave and one is a locum dentist, a dental therapist, five dental nurses three of whom are in training, two receptionists and a practice manager.

The practice’s opening hours are 8:00am – 5:30pm Monday to Friday. Extended hours are also available until 7pm on Thursday. There are arrangements in place to ensure patients receive urgent medical assistance when the practice is closed. This is provided by an out-of-hours service.

There was no registered manager at the time of our inspection at this location. We were shown evidence which confirmed the current Practice Manager was going through the CQC registration process to become 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 inspection was carried out by a CQC inspector.

Our key findings were:

  • Staff had received safeguarding training appropriate to their roles.

  • Staff recruitment files contained essential information in relation to Regulation 19, Schedule 3 of Health & Social Care Act 2008 (Regulated Activities) Regulations 2015.

Inspection areas


No action required

Updated 24 November 2016

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

At our previous inspection we identified risks that could compromise safe patient care and treatment with regard to staff recruitment and safeguarding children and vulnerable adults training. At this inspection we found risks in relation to these shortfalls were identified and mitigated.

Staff recruitment procedures ensured that all of the required checks for new staff were completed. Staff carried out safeguarding training and was aware of their responsibilities regarding maintaining their continuing professional development.


No action required

Updated 25 February 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 including that from the National Institute for Health and Care Excellence (NICE) to guide their practice. The 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.


No action required

Updated 25 February 2016

We found that this practice was caring in accordance with the relevant regulations.

We collected eight completed comment cards. These provided a completely positive view of the service; we also asked 26 patients for their views which aligned with these. Patients commented that the quality of care was generally very good. Whilst all comments were favourable, one patient told us their treatment appeared hurried.


No action required

Updated 25 February 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 those these into account in how the practice was run. Patients could access treatment and urgent care when required. The practice provided patients with written information and had access to telephone interpreter services when required. A dental treatment room on the ground floor enabled ease of access into the building for patients with mobility difficulties and families with prams and pushchairs.


No action required

Updated 25 February 2016

We found that this practice was not providing care which was well led in accordance with the relevant regulations.

The practice manager provided effective local leadership and the corporate provider had in place a system of managers who provided support and leadership to the practice manager. The practice had 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.

The practice could not demonstrate it had effective recruitment procedures. The practice had a recruitment policy but the provider could not provide evidence to confirm all the checks required for new staff had been carried out.