The Care Quality Commission
  • Dentist
  • Dentist

Westpoint Dental Centre

160 Slade Lane, Manchester, Lancashire, M19 2AQ (0161) 224 3610

Provided and run by:
Kiran Hanji

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

All Inspections

21 December 2021

During an inspection looking at part of the service

We undertook a follow up desk-based review of Westpoint Dental Centre on 21 December 2021. This review was carried out to assess 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 had remote access to a specialist dental adviser.

We undertook a comprehensive inspection of Westpoint Dental Centre on 24 June 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 Westpoint Dental Centre on our website www.cqc.org.uk.

As part of this review 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 or review 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 improvements in relation to the regulatory breach we found at our inspection on 24 June 2021.

Background

Westpoint Dental Centre is in Manchester and provides NHS and 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. On street parking is available near the practice.

The dental team includes eight dentists, eight dental nurses (four of whom are trainees), two dental hygienists, a practice manager and three receptionists. The practice has six treatment rooms.

The practice is owned by a partnership and as a condition of registration must have a person registered with the Care Quality Commission 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 Westpoint Dental Centre is the practice manager.

The practice is open:

Monday 8:30am to 5pm

Tuesday 7:30am to 7pm

Wednesday 8:30am to 7pm

Thursday 7:30am to 7pm

Friday 8:30am to 5pm

Saturday 9am to 1pm

Our key findings were:

  • The sharps risk assessment, staff reporting and incident reporting procedures had been reviewed.
  • Hazardous substances were risk assessed.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • We saw staff had procedures to reduce the possibility of Legionella or other bacteria developing in the water systems, in line with a risk assessment.
  • The effectiveness of vaccinations against Hepatitis B was checked. Risk assessments were in place for staff whose results were unknown.
  • Staff kept records of NHS prescriptions as described in current guidance.
  • Radiation protection information and operators instructions were updated.

24 June 2021

During an inspection looking at part of the service

We carried out this announced focused inspection on 24 June 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 asked the following three questions:

• 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

Westpoint Dental Centre is in Manchester and provides NHS and 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. On street parking is available near the practice.

The dental team includes eight dentists, eight dental nurses (four of whom are trainees), two dental hygienists, a practice manager and three receptionists. The practice has six treatment rooms.

The practice is owned by a partnership 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 Westpoint Dental Centre is the practice manager.

During the inspection we spoke with three dentists, four dental nurses, a dental hygienist, a receptionist, the practice manager and a company compliance manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday 8.30am - 5.00pm

Tuesday 7.30am - 7.00pm

Wednesday 8.30am - 7.00pm

Thursday 7.30am - 7.00pm

Friday 8.30am - 5.00pm

Saturday 9.00am –1.00pm

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.
  • The provider had implemented standard operating procedures in line with national guidance on COVID-19.
  • Staff knew how to deal with emergencies. Appropriate medicines were available, life-saving equipment was not in line with Resuscitation Council UK guidance. This was addressed immediately.
  • Improvements were needed to the systems to identify and manage risk to patients and staff. The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The provider had staff recruitment procedures which reflected current legislation.
  • 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.
  • Staff felt involved and supported and worked as a team.
  • The provider asked patients for feedback about the services they provided.

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.

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

  • Take action to ensure staff have received training in the recognition, diagnosis and early management of sepsis in line with National Institute for Health and Care Excellence guidance.
  • Improve the practice's protocols for medicines management. In particular, ensuring prescribing logs can identify missing prescriptions.
  • Take action to ensure the practice’s use of dental X-ray equipment is registered with the Health and Safety Executive.