• Dentist
  • Dentist

Leytonstone Dental Centre

489 High Road Leytonstone, London, E11 4PG (020) 8558 8656

Provided and run by:
Leytonstone Dental Centre LLP

All Inspections

23/09/2022

During an inspection looking at part of the service

We undertook a follow up focused inspection of Leytonstone Dental Centre on 23 September 2022. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

We undertook a comprehensive inspection of Leytonstone Dental Centre on 24 November 2021 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care and was in breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Leytonstone Dental Centre on our website www.cqc.org.uk.

When one or more of the five questions are not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the area where improvement was required.

As part of this inspection we asked:

• Is it well-led?

Our findings were:

Are services well-led?

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

The provider had made improvements in relation to the regulatory breach we found at our inspection on 24 November 2021.

Background

Leytonstone Dental Centre is in the London Borough of Waltham Forest and provides 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 disabled people, are available near the practice.

The dental team includes 3 dentists, 2 dental nurses, a practice manager, a compliance manager and a receptionist. The practice has 3 treatment rooms.

During the inspection we spoke with 1 dentist, 1 dental nurse, the practice manager and the compliance manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Saturday from 10am to 5pm

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

  • Improve the practice’s infection control procedures and protocols taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices, and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance. In particular they should ensure that clothing worn to undertake clinical procedures is not worn outside the practice.

24 November 2021

During an inspection looking at part of the service

We carried out this announced inspection on 24 November 2021 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 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 usually ask five key questions, however due to the ongoing pandemic and to reduce time spent on site, only the following three questions were asked:

• 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 not providing well-led care in accordance with the relevant regulations.

Background

Leytonstone Dental Centre is in the London Borough of Waltham Forest and provides private dental care and treatment for adults and children.

The practice is located close to public transport links and car parking spaces are available near the practice.

The dental team includes three dentists, one dental nurse, a receptionist, a practice manager and a compliance 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 Leytonstone Dental Centre is the practice manager.

During the inspection we spoke with the dental nurse, the receptionist and the practice manager and the compliance manager. As there were no dentists available on the day of the inspection we carried out a remote conversation with one of the dentists after the inspection. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday to Saturday from 10.00am to 5.00pm

Our key findings were:

  • The provider had infection control procedures which reflected published guidance.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • Staff felt involved and supported and worked as a team.
  • The provider asked staff and patients for feedback about the services they provided.
  • The provider had information governance arrangements.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice appeared to be visibly clean and well-maintained
  • Staff provided preventive care and supported patients to ensure better oral health. However, improvements were needed to ensure that all important information was suitably recorded within the dental care records.
  • The provider had staff recruitment procedures. Improvements were needed to ensure that checks were carried out consistently for all staff at the time of recruitment, and records available.

We identified regulations the provider was not complying with. They must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

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

  • Implement audits for prescribing of antibiotic medicines taking into account the guidance provided by the Faculty of General Dental Practice.

21 August 2013

During an inspection looking at part of the service

This inspection was carried out under section 62 of the Health & Social Care Act 2008. We performed this inspection to check on action taken by the dental practice following a warning notice imposed at our previous inspection in May 2013. At that time we found that the dental practice was failing to ensure that patients were protected against the risks of unsafe or inappropriate care and treatment by ensuring there was an accurate record in respect of each patient. We also noted that records in relation to persons employed for the carrying on of the regulated activity, and records relating to the management of the regulated activity were not in place.

During this inspection we noted that improvements had been made where we had concerns especially with regards to record keeping. Patient's individual treatment records examined on the day of our inspection showed that patients had been involved in consultations regarding their individual dental treatment regimes. This shows that patients had been provided with appropriate information to ensure they were in a position to provide informed consent when required.

We met and spoke to two patients who were attending an appointment with their dentist. They told us that they were involved in the decisions about their dental treatment and care.

The patients we spoke to were happy with the treatment they received. One person said 'I am very happy with the dentist and have no concern'.

Patients could book an appointment when leaving the practice if they needed any follow treatment.

8 May 2013

During a routine inspection

We found that Leytonstone Dental Centre does not give patients information regarding the care and treatment options available to them or advice on the risks and benefits of a particular course of treatment. We were concerned that patient's records did not always show evidence that their medical history had been discussed before treatment began. We found that systems were in place and staff were trained to deal with medical emergencies.

We found that all areas of the practice were clean and tidy. There were effective systems in place to reduce the risk and spread of infection. We were unable to check whether the provider carried out appropriate pre-employment checks before staff began work because the manager did not keep staff records. We saw evidence that staff were registered with their relevant professional body.

There were no systems in place to monitor the quality of care and treatment provided, or to take account of complaints or comments from service users. We were concerned about the manager's lack of awareness regarding his obligation to keep proper records in relation to patients, staff and the management of the regulated activities.