The Care Quality Commission
  • Dentist
  • Dentist

Archived: Tooth Booth Chichester

22 The Hornet, Chichester, West Sussex, PO19 7JG (01243) 839104

Provided and run by:
The Tooth Booth Group Limited

All Inspections

23 January 2017/ 2 May 2017

During a routine inspection

We carried out an inspection of this practice over two days, 23 January 2017 and 2 May 2017 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

Tooth Booth Chichester is a dental practice providing NHS and private treatment for both adults and children. The practice is based in a converted commercial property in the centre of Chichester, West Sussex.

The practice has two dental treatment rooms both of which are based on the ground floor; and a separate decontamination room used for cleaning, sterilising and packing dental instruments. The practice is accessible to wheelchair users, prams and patients with limited mobility.

The practice employs two dentists, one dental nurse, two part time receptionists, a practice manager, and a cleaner; and a part time dental hygienist who provides private dental hygiene services.

The practice’s opening hours are between 8.30am and 5.30pm from Monday to Friday, between 9am and 4pm on Saturdays.

There are arrangements in place to ensure patients receive urgent medical assistance when the practice is closed. This is provided by an out-of-hours service.

There was no registered manager at the time of our inspection at this location. We were told that the current practice manager was going through the CQC registration process to become the registered manager. 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.

The inspection took place over two days and was carried out by a CQC inspector and a dental specialist advisor. We did not receive any completed CQC comment cards left at the practice for patients. On the days of the inspection there were no patients we could speak with.

Our key findings were:

  • The practice appeared visibly clean.
  • The practice had infection control procedures which followed published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risk.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • We found that the practice provided patient centred dental care in a relaxed and friendly environment.
  • The practice had processes in place for safeguarding adults and children living in vulnerable circumstances.
  • There was a process in place for the reporting of untoward incidents that occurred in the practice. Although the system for shared learning resulting from these incidents could be improved.
  • 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 asked patients for feedback about the services they provided.

16/08/2016

During a routine inspection

We carried out an announced comprehensive inspection on 16 August 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

Tooth Booth Chichester is a dental practice providing NHS and private treatment for both adults and children. The practice is based in a converted domestic dwelling in the centre of Chichester, West Sussex.

The practice has two dental treatment rooms both of which are based on the ground floor and a separate decontamination room used for cleaning, sterilising and packing dental instruments. The practice is accessible to wheelchair users, prams and patients with limited mobility.

The practice employs one dentist, one dental nurse, one receptionist and a practice manager and a part time dental hygienist who provides private dental hygiene services.

The practice’s opening hours are between 8.30am and 5.30pm from Monday to Friday, between 8.30am and 1pm on Saturdays and Tuesday evenings between 5.45pm and 8pm.

There are arrangements in place to ensure patients receive urgent medical assistance when the practice is closed. This is provided by an out-of-hours service.

There was no registered manager at the time of our inspection at this location. We were told that the current Practice Manager was going through the CQC registration process to become the registered manager. 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.

We obtained the views of 12 patients on the day of our inspection.

Our key findings were:

  • We found that the aim of the practice was to provide patient centred dental care in a relaxed and friendly environment.
  • Staff had been trained to handle emergencies and appropriate medicines were available according to current guidelines and most of the life-saving equipment detailed in the Resuscitation Council UK guidelines was readily available.
  • The practice appeared visibly clean.
  • Infection control procedures followed published guidance.
  • The practice had processes in place for safeguarding adults and children living in vulnerable circumstances.
  • There was a process in place for the reporting of untoward incidents that occurred in the practice.
  • The regular dentist working at the practice provided dental care in accordance with current professional and National Institute for Care Excellence (NICE) guidelines.
  • The service was aware of the needs of the local population and took these into account in how the practice was run.
  • Patients could access treatment and urgent and emergency care when required.
  • Staff we spoke were committed to providing a quality service to their patients.

  • Information from four completed Care Quality Commission (CQC) comment cards gave us a positive picture of a friendly, caring, professional and high quality service.

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

  • Consider installing a hearing loop for patients with hearing difficulties.
  • Consider providing the hygienist with the support of an appropriately trained member of the dental team.
  • Review the competencies of locum dentists prior to them working in the practice specifically around the quality of record keeping, obtaining valid informed consent and safeguarding issues.
  • Review the comments made on the NHS Choices website to ensure that positive comments made by patients about the practice are responded to in a timely manner
  • Consider providing a portable ramp for patients who are wheelchair users.
  • Review the facilities in the patient toilet to ensure that the waste bin and mirror meet the needs of wheelchair users.

4 December 2012

During a routine inspection

We spoke with four people during this inspection. All were very positive about the service that they received from Tooth Booth. People told us that they received a friendly service, were kept well informed and were offered choices about their

treatment.

One person said, "I am very happy with the approach of the dentist and the treatment I have received."

Another person said, "I have no concerns, the treatment I have recieved has been very good, the dentist is very friendly and put me at ease."

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.