You are here

Reports


Inspection carried out on 02 June 2021

During a routine inspection

We carried out this announced focused inspection on 02 June 2021 under section 60 of the Health and Socal 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 Care Quality Commission, (CQC), inspector who was supported by a specialist dental adviser.

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 well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

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

Are services effective?

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

Are services well-led?

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

Background

Portland Road Dental Practice is in Hove and provides NHS and private dental care and treatment for adults and children.

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

The dental team includes three dentists, three dental nurses, two of which are student nurses, a dental hygienist, two receptionists and a practice manager. The practice has three treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the CQC as the registered manager. Registered managers 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 registered manager at Portland Road Dental Practice is the practice manager.

During the inspection we spoke with two dentists, two dental nurses, one of the receptionists, the practice manager and the area manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 8.30am to 6.30pm

Tuesday and Thursday 8.30am to 7pm

Wednesday and Friday 8.30am to 6pm

Saturday 2pm to 5pm

Sunday 9am to 1pm

Our key findings were:

  • The practice appeared to be visibly clean and well-maintained.
  • The provider had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The provider had systems to help them manage risk to patients and staff.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures which reflected current legislation.
  • 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 had been increased to allow more patients to be seen.
  • The provider had effective leadership and a culture of continuous improvement.
  • Staff felt involved and supported and worked as a team.
  • The provider dealt with complaints positively and efficiently.
  • The provider had information governance arrangements.

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

  • Take action to ensure the clinicians take into account the guidance provided by the Faculty of General Dental Practice when completing dental care records.

We are mindful of the impact of COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering a) when to inspect and b) what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

Inspection carried out on 8 August 2013

During an inspection looking at part of the service

At the last inspection in June 2013 we found Tooth Smart Dental Care non-compliant with Regulation 21 of the Health and Social Care Act (HSCA). This was because references and security checks had not been completed for three members of staff before they started work at the practice. At this inspection we found that the provider had taken the steps they needed to achieve compliance.

We found that outstanding checks were carried out to ensure staff were of good character had been carried out .There were now systems to ensure appropriate checks were carried out before people started work. The manager told us, �They are not allowed to start in the practice until all relevant documents have been collected and processed and we have seen the result." Records we saw confirmed this.

Inspection carried out on 31 May 2013

During a routine inspection

We spoke with six people who used the practice and with a dentist, dental nurse, receptionist and two managers. We also looked at a wide range of patient and other records to help us understand how the practice operated.

Patients were given treatment choices and information to help them decide before they agreed to treatment. A dentist said, �I give all the options available and the risks and benefits in the short and long term. If they want time to decide then that�s fine, it�s their tooth, their body, their health.� Patients received a comprehensive oral examination and were given advice to help them maintain their oral health. People were given options before treatment was given in accordance with their agreed plan. A patient said, �It�s very good, they have modern equipment, they�re very friendly and the waiting times are OK. As far as medical care in England goes, it�s up there.� Another commented, �It�s very good, excellent.�

Staff were appropriately qualified and where necessary registered with the General Dental Council. However, not all required checks were always completed before people started work.

People said they thought the clinic was clean. We found there were systems to prevent and control infection and processes for the decontamination of dental equipment which met government standards.

The provider gathered the views of people who used the service, and acted on these. There were systems to ensure the clinic was safe.