Peel Park Dental Practice

Updated 31 October 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was led by a CQC inspector who was supported by a second CQC inspector.

We informed local NHS England area team and Healthwatch that we were inspecting the practice; however we did not receive any information of concern from them.

During the inspection we received feedback from 12 patients. We also spoke with three dentists, two dental nurses and the practice manager. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 31 October 2016

We carried out an announced comprehensive inspection on 20 September 2016 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

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

Peel Park Dental Practice is situated in Bradford, West Yorkshire. It offers mainly NHS dental treatments to patients of all ages but also offer private treatment options. The services include preventative advice and treatment and routine restorative dental care. It is a training practice for newly qualified dentists (foundation dentists). Training practices have been approved by the regional postgraduate deanery to provide education supervision to foundation dentists.

The practice has four surgeries, a decontamination suite, two waiting areas, an X-ray room and a reception area. The reception area, one waiting area, two surgeries and accessible toilet facilities are located on the ground floor. The other waiting area, two surgeries and the X-ray room are on the first floor. The decontamination suite is located in the basement. There is step free access to the premises.

There are five dentists (including one foundation dentist), three qualified dental nurses (who also cover reception duties), two trainee dental nurses, one receptionist and a practice manager.

The opening hours are Monday to Thursday from 9-00am to 6-00pm and Friday from 9-00am to 4-00pm.

The practice manager and practice owner are the registered managers. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run.

During the inspection we received feedback from 12 patients. The patients were positive about the care and treatment they received at the practice. Comments included that staff were helpful, polite and caring. They also commented that the premises were hygienic and the dentists’ communication skills were excellent.

Our key findings were:

• The practice was visibly clean and uncluttered.
• The practice had systems in place to assess and manage risks to patients and staff including health and safety and the management of medical emergencies.
• Staff were qualified and had received training appropriate to their roles.
• Dental care records showed that treatment was planned in line with current best practice guidelines.
• Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• We observed that patients were treated with kindness and respect by staff.
• Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood.
• The practice had a complaints system in place and there was an openness and transparency in how these were dealt with.
• Patients were able to make routine and emergency appointments when needed.
• The governance systems were effective.
• There were clearly defined leadership roles within the practice and staff told us they felt supported, appreciated and comfortable to raise concerns or make suggestions.

We identified the practice did the following which had a positive impact on patient experience and health outcomes. We believe this to be notable practice.

• The practice was located in an area with a high proportion of persons from the Indian subcontinent. They had identified that this population would frequently chew betel nut and smoke shisha pipes. They had put together a display in the waiting room about the risks of smoking shisha pipes and a card which was used to show patients the risks of betel nut chewing.

There were areas where the provider could make improvements and should:

• Review the current legionella risk assessment and implement the required actions including the monitoring and recording of water temperatures, giving due regard to the guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices and The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance.