The Care Quality Commission
  • Dentist
  • Dentist

Archived: Rokni Euro - Dental Practice

2A Copson Street, Withington, Manchester, Lancashire, M20 3HE (0161) 434 9129

Provided and run by:
Rokni Euro Limited

All Inspections

21 May 2019

During a routine inspection

We carried out this announced inspection on 21 May 2019 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 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.

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

Rokni Euro - Dental Practice is in Withington, Manchester. They provide NHS and a small amount of private treatment to adults and children.

The practice is located on the first floor of commercial premises in a high street location. Access is via a flight of stairs and access for wheelchair users is not possible. A large car park is located behind the premises, this includes spaces for blue badge holders.

The dental team includes the principal dentist and a dentist working under supervision while they complete their NHS performer’s list validation of experience. There are three dental nurses (one of whom has a managerial role and one is a trainee). The practice has two treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission 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 Rokni Euro - Dental Practice is the principal dentist.

On the day of inspection, we collected 17 CQC comment cards filled in by patients and spoke with two other patients. They were positive about all aspects of the service the practice provided.

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

The practice is open: Monday to Friday 9am to 1pm and 2pm to 5pm

Our key findings were:

  • The premises were clean, tidy and well maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them identify and manage risk to patients and staff.
  • The provider had suitable safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had thorough staff recruitment procedures.
  • 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 were providing preventive care and supporting patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • The provider had effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked well as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider had systems to deal with complaints positively and efficiently.
  • The provider had effective information governance arrangements.

There was an area where the provider could make improvements. They should:

  • Review the practice’s protocols for ensuring that all clinical staff have adequate immunity for vaccine preventable infectious diseases.

1 April 2014

During an inspection looking at part of the service

As this was a follow-up inspection looking only at Regulation 20 (outcome 21: records), we visited the dental practice during lunchtime so as not to interrupt clinical care; there were no patients present.

We found that the provider had made improvements to records relating to the management of the dental practice and was in the process of systematically updating their records system to ensure people's medical records were accurate and accessible.

1 July 2013

During a routine inspection

We spoke with three patients who told us that staff were "really friendly" and "[told] the truth -- what you need to know". We observed staff warmly greeting patients by name and having friendly conversations throughout the day. Patients told us that they had been attending the dental practice for years and their children were "happy and comfortable" because the dentists were "easy to understand." We saw that many of the staff and patients did not speak English as a first language, and both staff and patients often switched to other languages throughout the day. The provider told us that, collectively, staff speak 11 languages.

We reviewed the clinical records of five people, including children, older people and two private (fee-paying) patients. We saw that people received regular examinations and, where relevant, treatments. This included referrals to other professionals for further dental work, such as extractions under sedation. The dental practice was clean and had an effective system to limit cross-infection.

We saw that staff regularly explained treatment options to people and respected their choices. People's clinical records did not always reflect the care provided, such as obtaining verbal consent or checking medical history. We saw that other records relating to the management of the service were not fit for purpose. Staff received regular supervision and training, but records did not reflect the additional support provided to trainee dental nurses.