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Bridge Street Aspire Dental Care

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Updated 5 October 2017

We carried out this announced inspection on 11 September 2017 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.

We told the NHS England team that we were inspecting the practice. They did not provide any information.

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

Bridge Street Aspire Dental Care is in Banbury and provides NHS and Private treatment to patients of all ages.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including those for patients with disabled badges, are available near the practice.

The dental team includes the practice manager, three dentists, three dental nurses, and four receptionists. 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.

The registered manager at Bridge Street Aspire Dental Care is the practice manager.

On the day of inspection we collected eight CQC comment cards filled in by patients and obtained the views of eight other patients. This information gave us a positive view of the practice.

The practice is open 8am to 8pm Monday to Friday and 9am to 5pm Saturday and Sunday.

Our key findings were:

  • The practice appeared clean and well maintained.
  • The practice 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 suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • 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.
  • The appointment system met patients’ needs.
  • The practice had effective leadership. Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice had a procedure in place to deal with complaints.
Inspection areas

Safe

No action required

Updated 5 October 2017

We found that this practice was providing safe care in accordance with the relevant regulations. We noted there were no arrangements for receiving and responding to patient safety alerts, recalls and rapid response reports. We have since been provided evidence to confirm this shortfall has been addressed.

The practice had systems and processes to provide safe care and treatment. They used learning from incidents and complaints to help them improve. We noted learning discussion from incidents was not recorded. We have since been provided evidence that a new system has been set up and assured this will be used in future.

Staff knew how to recognise the signs of abuse and how to report concerns. Records seen confirmed that staff received the recommended level of safeguarding training.

Staff were qualified for their roles and the practice completed all but one of the essential recruitment checks. We noted references were requested but responses were not monitored to ensure these were received. We have since been provided evidence that a new system has been set up and assured this will be used in future

Premises and equipment appeared clean and properly maintained. We noted the standard of cleaning carried out by the external cleaning company was not monitored. We have since been provided assurance that this shortfall has been addressed.

The practice followed national guidance for cleaning, sterilising and storing dental instruments. We noted that two trainee dental nurses working at the practice did not have evidence of Hep B immunity or a risk assessment in place. We have since been provided evidence to confirm this shortfall has been addressed.

The practice had suitable arrangements for dealing with medical emergencies.

Since our inspection we have been given assurances that the shortfalls are being addressed.

Effective

No action required

Updated 5 October 2017

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

The dentists assessed patients’ needs and provided care and treatment in line with recognised guidance. Patients described the treatment they received as safe and effective. We received feedback about the practice from 16 patients. Patients were positive about all aspects of the service the practice provided. They told us staff were helpful, kind and caring. The dentists discussed treatment with patients so they could give informed consent and recorded this in their records.

The practice had clear arrangements when patients needed to be referred to other dental or health care professionals. We noted the practice did not have a system in place to monitor urgent referrals to specialist services. We have since been provided evidence to confirm this shortfall has been addressed.

The practice supported staff to complete training relevant to their roles and had systems to help them monitor this. We noted the practice did not have evidence of completion of all the locum dentist’s mandatory training. We have since been advised this dentist will not be permitted to work at Bridge Street until evidence of training has been received.

Caring

No action required

Updated 5 October 2017

We found that this practice was providing caring services in accordance with

the relevant regulations.

We received feedback about the practice from 16 patients. Patients were positive about all aspects of the service the practice provided. They told us staff were helpful, kind and caring.

They said that they were given thorough and safe, and said their dentist listened to them. Patients commented that they made them feel at ease, especially when they were anxious about visiting the dentist.

We saw that staff protected patients’ privacy and were aware of the importance of confidentiality. Patients said staff treated them with dignity and respect.

Responsive

No action required

Updated 5 October 2017

We found that this practice was providing responsive care in accordance with

the relevant regulations.

The practice’s appointment system was efficient and met patients’ needs. Patients could get an appointment quickly if in pain.

Staff considered patients’ different needs. This included providing facilities for disabled patients and families with children.

The practice had access to telephone interpreter services.

The practice took patients views seriously. They valued compliments from patients and responded to concerns and complaints quickly and constructively.

Well-led

No action required

Updated 5 October 2017

We found that this practice was providing well-led care in accordance with the relevant regulations.

The practice had arrangements to ensure the smooth running of the service. These included systems for the practice team to discuss the quality and safety of the care and treatment provided. There was a clearly defined management structure and staff felt supported and appreciated.

The practice team kept complete patient dental care records which were, clearly stored securely.

The practice monitored clinical and non-clinical areas of their work to help them improve and learn. This included asking for and listening to the views of patients and staff.