Bridgford Dental Practice

Updated 19 April 2017

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.

On 29 June 2016 we carried out an announced, comprehensive inspection and identified concerns with regard to the well led areas of the practice. As a result we issued the provider with a requirement notice to address those concerns. The provider sent the Care Quality Commission (CQC) an action plan on 30 August 2016 which identified the steps to be taken to address the issues.

We carried out a focused inspection on 16 March 2017 to check that the concerns had been addressed and compliance achieved.

The inspection team consisted of a CQC inspector with remote access to a dental specialist adviser.

Updated 19 April 2017

We carried out an announced comprehensive inspection of this practice on 29 June 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to braches in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Part 3) Regulation 17: Good governance. We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to that requirement. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Bridgford Dental Practice on our website at www.cqc.org.uk

We carried out an announced follow up inspection on 16 March 2017 to ask the practice the following key questions; Are services well-led?

Our findings were:

Are services well-led?

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

Background

Bridgford Dental Practice is a dental practice providing mostly private dental treatment. The practice is located in premises close to the centre of West Bridgeford on the outskirts of Nottingham. There is a small car park available to the front of the practice; otherwise there is pay and display or roadside parking in the area. The practice has three treatment rooms, all three of which are on the ground floor.

The practice provides regulated dental services to both adults and children. The practice provides mostly private dental treatment (70%). Services provided include general dentistry, dental hygiene, crowns and bridges, and root canal treatment.

The practice’s opening hours are – Monday to Friday: 9 am to 5 pm. The practice is closed for one hour for lunch.

Access for urgent treatment outside of opening hours is by telephoning the practice and following the instructions on the answerphone message. Nottingham Emergency Dental Services offers an out-of-hours service.

The principal dentist is 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 practice has three dentists; one dental hygienist; three qualified dental nurses; one trainee dental nurse and a receptionist.

Our key findings were:

• All staff had received additional training in infection control procedures.
• Equipment used at the practice had been reviewed and where necessary replaced.
• New equipment had been purchased.
• The practice had introduced a system to deal with the issue of rusty instruments.
• Infection control procedures had been audited and a specialist review of the audit had been carried out.
• Record keeping had been improved to ensure a clear audit trail.