Bond Dental London (MAYFAIR)

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We found this practice was providing safe care in line with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe systems, pathways and transitions is based on the latest evidence we assessed for the Safe key question.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

The practice had a recruitment policy and procedures to help them employ suitable staff, including agency or locum staff. However, this did not always reflect relevant legislation. Following the inspection, further documentation was sent to us where missing records had been identified, for example in relation to Disclosure and Barring Service checks and staff immunisation.

The practice ensured clinical staff were qualified, registered with the General Dental Council and had appropriate professional indemnity cover.

Newly appointed staff had an appropriate role specific structured induction although we were told this would be further strengthened to enhance staff knowledge and skill.

Staff told us that there were always enough staff on duty. They demonstrated knowledge of safeguarding and were aware of how safeguarding information could be accessed. Staff knew how to escalate safeguarding concerns within the practice and externally.

The practice had not ensured ongoing staff training, including appropriate continuing professional development (CPD), was kept up-to-date and reviewed at the required intervals. For example, significant time lapses between the completion of some core CPD topics were seen and we noted that 2 staff members had not completed training in Learning Disability and Autism.

We were shown the systems recently implemented to ensure that staff training is suitably monitored, and we were told that appropriate time and oversight would be to ensure these were embedded. Information sent to us following the inspection demonstrated that staff had completed the necessary training following the inspection.

Staff told us they felt respected, supported and valued, and they were proud to work in the practice. We were told that the new leadership team has future plans to support staff with extended duties and development opportunities which will include regular appraisals.

The practice had infection control procedures that reflected published guidance.

Staff demonstrated knowledge and awareness of infection prevention and control processes.

Staff used personal protective equipment and decontaminated dental instruments after use, in line with national guidance. We saw, and staff confirmed that single-use items were not reprocessed.

The practice had effective procedures to reduce the risk of Legionella, or other bacteria, developing in water systems, in line with a risk assessment and current guidance.

The practice had protocols to ensure effective cleaning and safe segregation and disposal of hazardous waste.

Equipment had not always been maintained and serviced in line with manufacturers’ instructions. However, we were told that newly implemented systems would ensure that further lapses would not occur.

Whilst the practice had recently completed an infection prevention and control audit, the timing of these audits was not in line with current guidance. We were shown the systems implemented to ensure that these will be carried out at appropriate intervals in line with guidance.

Staff demonstrated an open culture in relation to people’s safety and we saw that the practice had recently implemented systems for identifying and managing risks. For example, risk assessments related to health and safety, sharps and fixed wiring had been completed prior to the inspection. We discussed with the team the need for ongoing monitoring and oversight of risks to prevent delays in risk assessments and safety management.

Staff could access emergency equipment and medicines that were checked in line with national guidance. Improvements were underway to ensure that items due to expire were identified and ordered in a timely manner. Staff knew how to respond to a medical emergency and had completed training in emergency resuscitation and basic life support prior to the inspection. Leaders gave assurances that the frequency of these training updates would be reviewed in line with Resuscitation Council guidance.

The premises were visibly clean, well maintained and free from clutter. Hazardous substances were clearly labelled and stored safely.

We saw records of servicing and validation of equipment. We discussed the need to ensure a rolling programme of monitoring and tracking to ensure that servicing of equipment did not lapse.

The practice had arrangements to ensure the safety of the X-ray equipment and the required radiation protection information was available.

The practice had suitable systems to manage fire safety, and fire exits were clear and well signposted.

The practice had systems for appropriate and safe management of medicines. NHS prescription pads were kept securely, and a log was in place to monitor and track their use.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.