• Dentist
  • Dentist

Edgar Buildings Dental Care

7 Edgar Buildings, George Street, Bath, Somerset, BA1 2EE (01225) 466086

Provided and run by:
Portman Healthcare Limited

Important: The provider of this service changed. See old profile

All Inspections

31 January 2024

During an inspection looking at part of the service

We undertook a follow up focused inspection of Edgar Buildings Dental Care on 31 January 2024. This inspection was carried out to review 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 advisor.

We had previously undertaken a comprehensive inspection of Edgar Buildings Dental Care on 15 August 2023 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 Edgar Buildings Dental Care on our website www.cqc.org.uk.

When 1 or more of the 5 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(s) 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 15 August 2023.

Background

Edgar Buildings Dental Care is part of Portman Healthcare Limited, a dental group provider. The practice is in Bath and provides private dental care and treatment for adults and children.

There is no step free access to the practice for people who use wheelchairs and those with pushchairs due to the nature of the building. The practice has made reasonable adjustments to support patients with access requirements; patients are referred to a sister practice that is located a 5 minute walk away. Car parking spaces are available near the practice.

The dental team includes 7 dentists with specialisms in orthodontics, endodontics, dental implants and oral surgery, 4 qualified dental nurses, 2 trainee dental nurses, 2 dental hygienists, 1 administrator, 1 practice manager who was also the registered manager, 1 treatment co - ordinator, and 4 receptionists. The practice has 4 treatment rooms.

During the inspection we spoke with the practice manager and two compliance managers. We looked at practice policies, procedures and other records to assess how the service is managed.

We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday – Friday 8:30am – 5:30pm

Saturday – 9am – 1pm, once a month

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

  • Further improve the practice's systems for assessing, monitoring and mitigating the various risks arising from the undertaking of the regulated activities.

15 August 2023

During a routine inspection

We carried out this announced comprehensive inspection on 15 August 2023 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 practice 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 advisor.

To get to the heart of patients’ experiences of care and treatment, we always ask the following 5 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:

  • The dental clinic appeared clean and well-maintained.
  • The practice had infection control procedures which reflected published guidance.
  • Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had ineffective systems to manage risks for patients, staff, equipment and the premises.
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The practice had staff recruitment procedures which did not always reflect current legislation.
  • Clinical staff provided patients’ care and treatment in line with current guidelines.
  • Patients were treated with dignity and respect. Staff took care to protect patients’ privacy and personal information.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system worked efficiently to respond to patients’ needs.
  • The frequency of appointments was agreed between the dentist and the patient, giving due regard to National Institute of Health and Care Excellence (NICE) guidelines.
  • There was generally leadership and a culture of continuous improvement.
  • Staff felt involved, supported and worked as a team.
  • Staff and patients were asked for feedback about the services provided.
  • Complaints were dealt with positively and efficiently.
  • The practice had information governance arrangements.

Background

Edgar Buildings Dental Care is part of Portman Healthcare Limited, a dental group provider. The practice is in Bath and provides private dental care and treatment for adults and children.

There is no step free access to the practice for people who use wheelchairs and those with pushchairs due to the nature of the building. The practice has made reasonable adjustments to support patients with access requirements; patients are referred to a sister practice that is located a 5 minute walk away.

Car parking spaces are available near the practice.

The dental team includes 7 dentists with specialisms in orthodontics, endodontics, dental implants and oral surgery, 4 qualified dental nurses, 2 trainee dental nurses, 2 dental hygienists, 1 administrator, 1 practice manager who was also the registered manager, 1 treatment co - ordinator, and 4 receptionists. The practice has 4 treatment rooms.

During the inspection we spoke with 1 dentist, 1 orthodontist, 2 dental nurses, 1 receptionist, the registered manager and the group’s quality lead. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday – Friday 8:30am – 5:30pm

Saturday – 9am – 1pm, once a month

We identified regulations the provider is 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:

  • Improve the practice's recruitment policy and procedures to ensure accurate, complete and detailed records are maintained for all staff.

Full details of the regulation the provider was not meeting are at the end of this report.

21 October 2013

During an inspection looking at part of the service

This inspection was to follow up on shortfalls we identified in our previous inspection regarding the management of decontamination processes and prevention of cross infection.

We found the provider had made improvements to the decontamination room. These included the fitment of a door, repair of the extraction fan and installation of an air conditioning unit. These improvements meant the air movement from a 'dirty' to 'clean' area was reduced and lowered the risk of cross contamination.

We saw environmental cleaning records and equipment checks were up to date. The provider had introduced a new test to measure the effectiveness of the steriliser to ensure all elements of the sterilisation process were tested.

The provider had implemented an infection control audit schedule to monitor the effectiveness of cleaning and infection control procedures. There were no outstanding actions and the most recent audit demonstrated 100% compliance.

16 July 2013

During a routine inspection

We spoke with three people attending the dental practice and most of the staff working at the practice.

People we spoke with told us they were satisfied with service they received. One person said "everything's fine. Everyone's friendly and helpful.' Another person told us 'the treatment is very good. I'm very happy.'

People told us they found the practice to be clean. One person said 'I have no qualms about the cleanliness.' Another person agreed saying 'it's always clean and tidy.' Accurate records were maintained of all checks completed on the washer disinfector and steriliser. We saw the equipment had been routinely serviced.

We observed the decontamination room was not equipped to prevent and control the risk of infection. The provider did not have an infection control audit schedule in place to monitor risk.

We saw the dental surgeons regularly attended professional and clinical practice updates to enable them to deliver safe and effective treatment. Dental nursing staff were able to access online training to enable them to meet the continuing professional development requirements of their professional regulatory body. All staff attended training in emergency management procedures, for example, cardiopulmonary resuscitation (CPR).

The provider had a system in place to regularly assess and monitor the quality of service that people received.