Broadway Dental Practice

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 identified and managed risks effectively and staff described the processes. Lone working had been risk assessed accordingly. However, some improvements were required relating to sharps safety and sepsis awareness. Following our inspection, we were sent evidence that clinicians only were handling sharps, and a safety removal device for sharps had been acquired and was in use. Staff had completed sepsis awareness training

Staff demonstrated an open culture in relation to people’s safety. They felt confident that risks were well managed at the practice, and this was reflected in our findings.

Staff could access emergency equipment and medicines that were checked in line with national guidance. They knew how to respond to a medical emergency and had completed training in emergency resuscitation and basic life support every year. We noted some of the emergency equipment was not available, we were sent evidence the missing items had been purchased following our inspection.

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

We saw satisfactory records of servicing and validation of equipment in line with manufacturer’s instructions.

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

The practice managed fire safety well, and fire exits were clear and well signposted.

The practice had systems for appropriate and safe management of medicines. However, there were no systems to log what medicines were held for dispensing or NHS prescriptions. We were sent evidence of a medicines and prescription log following our inspection.

The practice had a recruitment policy and procedures that reflected relevant legislation, to help them employ suitable staff. We noted that this was not being followed in some areas. Of the 6 records we reviewed only one had their employment history available. There were no references, 2 records did not have Hepatitis B information or indemnity, and one did not have a Disclosure and barring service (DBS) available. We were sent all of the missing documents following our inspection.

The practice ensured clinical staff were qualified, registered with the General Dental Council and had appropriate professional indemnity cover, with the exception of two staff files which did not have indemnity information available. We were sent this following our inspection.

We noted that staff had not been subject to an induction process, however, a number of the team had been at the practice for some time. We discussed this with staff, and an induction process has been created for any new staff joining the practice.

Staff had the skills, knowledge and experience to carry out their roles. They told us that there were enough staff on duty at all times. 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 ensured staff training, including continuing professional development, was up-to-date and reviewed at the required intervals. We noted that sepsis training had not been completed or Mental capacity act training. We were sent certification of this training following our inspection.

There were effective processes to support and develop staff with additional roles and responsibilities. Staff discussed their learning needs, general wellbeing and aims for future professional development during annual appraisal, practice team meetings and ongoing informal discussions.

Staff felt respected, supported and valued, and they were proud to work in the practice.

The practice had infection control procedures that reflected published guidance. We saw there were minor issues that required improvements. Such as clear zoning in the treatment rooms, no heavy-duty gloves available for the manual scrubbing of instruments and no maintenance of the ultrasonic bath. We were sent evidence all issues had been addressed following our inspection.

Staff received appropriate training and 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. With the exception of the heavy-duty gloves. 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 was maintained and serviced in line with manufacturers’ instructions. With the exception of the ultrasonic bath. This had been rectified following our inspection.

The practice had not completed an infection prevention and control audit. We were sent a completed audit following our inspection.

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