• Dentist
  • Dentist

The Windsor Dental Practice

146 Melton Road, Leicester, Leicestershire, LE4 5EE

Provided and run by:
Sigma Dental Limited

Important: This service was previously registered at a different address - see old profile

All Inspections

23 January 2024

During a routine inspection

We carried out this announced comprehensive inspection on 23 January 2024 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 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 reflected 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 effective 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

The Windsor Dental Practice is in Leicester and provides NHS and private dental care and treatment for adults and children.

There is step free 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 practice has made reasonable adjustments to support patients with access requirements.

The dental team includes 7 dentists, 5 qualified dental nurses, 5 trainee dental nurses, 1 dental therapist, 1 practice manager and 2 receptionists. The practice has 5 treatment rooms.

During the inspection we spoke with 2 dentists, 3 dental nurses, 1 dental therapist, 2 receptionists and the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday from 9am to 7.30pm.

Tuesday from 9am to 7.30pm.

Wednesday from 9am to 5pm.

Thursday from 9am to 5pm.

Friday from 8am to 1pm.

22 April 2013

During an inspection looking at part of the service

We did not speak with people using the practice on this occasion. People's views were sought at the previous inspection and were included within the inspection report of January 2013.

The provider had made improvements and implemented an effective quality assurance system to assess, monitor and manage the quality of service provided. Review and audits systems were now in place to ensure the health and safety of everyone using the practice was promoted and protected.

Feedback from people using the service, comments and complaints were listened to and acted on to ensure the practice continued to provide a quality service.

17 January 2013

During a routine inspection

We spoke with seven people who used the service. All were positive and complimentary about their dental care and treatment. People told us they were happy with the service and felt they were well informed about the health of their teeth and gums. People were complimentary about the staff and said they were polite, friendly and welcoming. One person said: 'I've been coming here now for many years and so do my children, its ok here.'

People told us they were happy with the hygiene and cleanliness of the waiting area and the treatment rooms. One person said: 'We've got no concerns about the hygiene and cleanliness here from our experience.' There were effective systems in place to reduce the risk and spread of infection.

We found by speaking with staff and reviewing records that the dentists and dental nurses accessed training to maintain their continuous professional skills and knowledge.

The provider did not have effective systems in place to assess and monitor the quality of service provision. Improvements were needed with regards to timely review of feedback from people who used the service and better use of the audit systems to assess the quality of service provision.