• Dentist
  • Dentist

Bamford Dental Practice

Norden Road, Bamford, Rochdale, Lancashire, OL11 5PT (01706) 860831

Provided and run by:
Bamford Dental Practice Limited

All Inspections

13 February 2020

During an inspection looking at part of the service

We undertook a follow up desk-based inspection of Bamford Dental Practice on 13 February 2020. This inspection was carried out to review in detail the evidence of the actions taken and sent to us 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 had remote access to a specialist dental adviser.

We undertook a comprehensive inspection of Bamford Dental Practice on 16 January 2020 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 regulations 17 and 19 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 Bamford Dental Practice on our website www.cqc.org.uk.

As part of this inspection we asked:

• Is it well-led?

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 areas where improvement was required.

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 immediate improvements in relation to the regulatory breaches we found at our inspection on 16 January 2020 and sent evidence of documents that were in place but not available on the inspection day.

Background

Bamford Dental Practice is in Rochdale and provides NHS and private dental care and treatment for adults and children. The practice also provides private dental implants, sedation, endodontics, orthodontics and NHS orthodontic care to children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. A large car park is available, including dedicated parking for people with disabilities.

The dental team includes 12 dentists, 19 dental nurses (two of whom are clinical managers), a treatment co-ordinator, five dental hygiene therapists, an orthodontic therapist, six receptionists and a business manager. The practice has 10 treatment rooms.

The practice is owned by anorganisation 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 Bamford Dental Practice is one of the partners.

The practice is open:

Monday, Tuesday and Thursday 9am to 5.30pm

Wednesday and Friday 9am to 5pm

Saturday 9am to 12.30pm (by appointment only)

Our key findings were:

  • The provider had effective leadership and a culture of continuous improvement.
  • Systems to identify risk were reviewed immediately after the initial inspection in January and systems implemented to manage these.
  • The recruitment procedures were reviewed to ensure all essential checks were carried out for new employees and agency staff.
  • The practice implemented systems to obtain evidence of staff training and competency appropriate to their role.

16 January 2020

During a routine inspection

We carried out this announced inspection on 16 January 2020 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 second CQC inspector and 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 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:

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 caring?

We found this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found this practice was providing responsive 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

Bamford Dental Practice is in Rochdale and provides NHS and private dental care and treatment for adults and children. The practice also provides private dental implants, sedation, endodontics, orthodontics and NHS orthodontic care to children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. A large car park is available, including dedicated parking for people with disabilities.

The dental team includes 12 dentists, 19 dental nurses (two of whom are clinical managers), a treatment co-ordinator, five dental hygiene therapists, an orthodontic therapist, six receptionists and a business manager. The practice has 10 treatment rooms.

The practice is owned by an organisation 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 Bamford Dental Practice is one of the partners.

On the day of inspection, we collected 47 CQC comment cards filled in by patients. These provided a positive view of the dental team and care provided by the practice.

During the inspection we spoke with six dentists, dental nurses including a clinical manager, a dental hygiene therapist, the orthodontic therapist, a receptionist and the business manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday, Tuesday and Thursday 9am to 5.30pm

Wednesday and Friday 9am to 5pm

Saturday 9am to 12.30pm (by appointment only)

Our key findings were:

  • The practice appeared to be visibly clean, tidy 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 systems to identify and manage risk to patients and staff could be reviewed.
  • The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The recruitment procedures did not ensure all essential checks were carried out for new employees and agency staff. Evidence of professional indemnity was not consistently obtained from clinical staff.
  • 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.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • Systems to obtain evidence of training and competency were not effective.
  • The provider had effective leadership and a culture of continuous improvement.
  • 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 dealt with complaints positively and efficiently.
  • The provider had information governance arrangements.

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.
  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

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

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

  • Implement protocols and procedures in relation to the Accessible Information Standard to ensure that that the requirements are complied with.

14 July 2015

During a routine inspection

We carried out an announced comprehensive inspection 14 July 2015 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

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

Are services effective?

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

Are services caring?

We found that this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

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

Are services well-led?

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

The practice offers a wide range of NHS and private treatment services for its patient population. This includes general dentistry, orthodontics (braces), implants, endodontics (root canal), periodontics (gum care) and cosmetic dentistry. This is a purpose built dental practice with modern facilities and seven dental surgeries, all fitted with up to date dental equipment and dental materials. There are two reception areas, one for general dentistry and one for orthodontics. Bamford Dental Practice has 12 dentists (three partner dentists and the remainder associates) and three therapists and hygienists who are supported by a dental nursing team, a practice manager, and reception staff. At the time of our inspection there were six dentists and one therapist supported by dental nurses on duty to meet the demands of the patient population.

One of the partner dentists 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 is open Monday/Tuesday and Thursday 9.00am - 5.30pm and Wednesday and Friday 9.00am - 5.00pm. The practice is open 9.00am - 12.30pm on a Saturday by appointment only.

We spoke with five patients who used the service on the day of our inspection and reviewed 22 CQC comment cards that had been completed by patients prior to the inspection. The patients we spoke with were very complimentary about the service. They told us they found the staff to be extremely friendly and welcoming and felt they were treated with dignity and respect. The comments on the CQC comment cards were also very complimentary about the staff and the service provided.

Our key findings were:

  • There were systems in place for staff to report incidents. There were sufficient staff on duty to deliver the service. There was enough equipment available for staff to undertake their duties and we saw the premises was maintained to a good standard and clean and tidy.
  • Patient’s needs were assessed and care was planned and delivered in line with current guidance. This included the promotion of good oral health. We saw evidence staff had received training appropriate to their roles and further training needs were identified and planned through the appraisal process.
  • The patients we spoke with and all the comment cards we reviewed indicated that patients were consistently treated with kindness and respect by staff. It was reported that communication with patients and their families, access to the service and to the dentists, was good. Patients reported good access to the practice with emergency appointments available the same day.
  • The practice had procedures in place to take into account any comments, concerns or complaints that were made to improve the practice.
  • The practice had an accessible and visible leadership team. Staff on duty told us they felt supported by the leadership team. Staff reported that patients were at the heart of the practice. This included the promotion of good oral health. Staff had received training appropriate to their roles and there was an effective appraisal system in place.