• Dentist
  • Dentist

Wellesley House Dental Practice

9 Wellesley Road, Ilford, IG1 4JT (020) 8554 4150

Provided and run by:
Dr. Grish Malhotra

All Inspections

28 February 2024

During an inspection looking at part of the service

We undertook a follow up focused inspection of Wellesley House Dental Practice

on 28 February 2024. This inspection was carried out to review 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 had remote access to a specialist dental advisor.

We had previously undertaken a comprehensive inspection of Wellesley House Dental Practice

on 31 March 2023 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 and well-led care and was in breach of regulations 12 and 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 Wellesley House Dental Practice on our website www.cqc.org.uk.

When 1 or more of the 5 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 breaches we found at our inspection on 31 March 2023.

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 31 March 2023.

Background

The provider has 3 dental practices, and this report is about Wellesley House Dental Practice.

Wellesley House Dental Practice is in Ilford in the Northeast London Borough of Redbridge and provides mainly NHS and some private dental care and treatment for adults and children. The practice is also used as an urgent hub where NHS 111 refers patients in need of urgent and emergency dental care and treatment.

There are two wide steps at the entrance to the practice which means that it was not accessible for people who use wheelchairs and those with pushchairs. Car parking spaces, including parking for disabled people, are available near the practice.

The dental team includes the principal dentist, 3 associate dentists, 2 qualified dental nurses, 1 receptionist and 1 administrator. They are supported by a practice manager who worked peripatetically to support all three practices. The practice has 2 treatment rooms.

During the inspection we spoke with the practice manager. We looked at practice policies, procedures, and other records to assess how the service is managed.

The practice is open Monday to Friday from 9am to 5pm.

31 March 2023

During a routine inspection

We carried out this announced comprehensive inspection on 31 March 2023 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 advisor.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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:

  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • Clinical staff provided patients’ care and treatment in line with current guidelines.
  • Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system worked efficiently to respond to patients’ needs.
  • The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
  • Staff felt involved, supported, and worked as a team.
  • Patients were asked for feedback about the services provided.
  • The practice had information governance arrangements.
  • The dental clinic needed refurbishment.
  • The practice had infection control procedures which broadly reflected published guidance. However, improvements were needed to ensure adherence to the regulations.
  • Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available. However, on the day we found the defibrillator pads had expired in 2020.
  • We found shortfalls in assessing and mitigating risks in relation to substances hazardous to health, equipment maintenance, infection control, fire and sharps injury.
  • The practice had staff recruitment procedures which reflected current legislation, however, not all staff files included all the necessary employment information.
  • Improvements were needed in relation to the practice governance arrangements and quality assurance processes.
  • Policies and procedures were in place to govern most activities except for closed circuit television.

Background

The provider has 3 dental practices, and this report is about Wellesley House Dental Practice.

Wellesley House Dental Practice is in Ilford in the Northeast London Borough of Redbridge and provides mainly NHS and some private dental care and treatment for adults and children. The practice is also used as an urgent hub where NHS 111 refers patients in need of urgent and emergency dental care and treatment.

There are two wide steps at the entrance to the practice which means that it was not accessible for people who use wheelchairs and those with pushchairs. Car parking spaces, including parking for disabled people, are available near the practice.

The dental team includes the principal dentist, 3 associate dentists, 2 qualified dental nurses, 1 receptionist and 1 administrator. They are supported by a practice manager who worked peripatetically to support all three practices. The practice has 2 treatment rooms.

During the inspection we spoke with 2 dentists, 2 dental nurses and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open Monday to Friday from 9am to 5pm.

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.

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

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

  • Improve the practice protocols regarding auditing patient dental care records to check that necessary information is recorded.
  • Implement audits for prescribing of antibiotic medicines taking into account the guidance provided by the College of General Dentistry.
  • Improve the practice's systems for assessing, monitoring, and mitigating the various risks arising from the undertaking of the regulated activities. In particular: lone working.

18 December 2013

During a routine inspection

People expressed their views and were involved in making decisions about their care and treatment. They understood the care and treatment choices available to them. Comments included "they gave me all the information I needed", "they gave me quite a few options about my tooth" and "I feel I was well informed".

People's needs were assessed and care and treatment was planned and delivered in line with their individual treatment plan. People said they were satisfied with the care and treatment they received from the service. Comments included "I'm really happy with them, they've been very helpful", "(the dentist) is very good. I'm satisfied" and "she's excellent".

People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. They said they felt safe using the service and comfortable with all of the staff. People were cared for in a clean, hygienic environment. Comments included "it's very clean", "very clean and nice" and "it always looks clean".

There was an effective complaints system available. Comments and complaints people made were responded to appropriately. People we spoke with said they had not had cause to make a complaint about the service but if they had, they believed they would be taken seriously.