The Bull Ring Dental Practice

Updated 25 February 2016

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 practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was carried out on 13 January 2016 by a CQC inspector and a dentist specialist advisor. Before the inspection we reviewed information we held about the provider and information that we asked them to send us in advance of the inspection.

During the inspection we spoke with members of the practice team including dentists, dental nurses, reception staff and the practice managers. We looked around the premises including the treatment rooms. We viewed a range of policies and procedures and other documents and read the comments made by 26 patients on comment cards provided by CQC before the inspection. We also looked at the practice’s NHS Friends and Family survey results for April to November 2015.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 25 February 2016

We carried out an announced comprehensive inspection on 13 January 2016 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.

Background

The Bull Ring Dental Practice is situated on the edge of Worcester city in a converted period property and provides NHS and private dental care. The practice has four dentists, one dental hygienist and six dental nurses two of whom are also the joint practice managers. The clinical team are supported by two receptionists. The practice has four dental treatment rooms and a decontamination room for the cleaning, sterilising and packing of dental instruments used in the first floor treatment rooms. Instruments used in the ground floor treatment rooms were processed in one of those rooms. The reception area and waiting room are on the ground floor.

Before the inspection we sent Care Quality Commission comment cards to the practice for patients to use to tell us about their experience of the practice. We collected 26 completed cards. Without exception patients were positive about the quality of the service provided by the practice. They gave examples of the positive experiences they and members of their families (including children) had at the practice and told us the practice team were professional, caring and attentive. Several patients commented that the dentists listened to them and explained their treatment in a way they could understand. Patients wrote that they had a high opinion of the practice and would not consider going elsewhere. Over a third mentioned that they always found the practice clean and hygienic. We saw the practice’s NHS Friends and Family results for April to October 2015. Out of a total of 122 responses 105 said they were ‘extremely likely’ to recommend the practice, nine said ‘likely’ and five selected a neutral response. Just three said they would be ‘unlikely’ to recommend the practice.

Our key findings were:

• Patients who completed CQC comment cards were all positive about the practice team and the care and treatment provided.

• The practice had an established process for reporting and recording significant events and accidents to ensure they investigated these and took remedial action.
• The practice was visibly clean and a number of patients commented on their satisfaction with hygiene and cleanliness.
• The practice had well organised systems to assess and manage infection prevention and control.
• The practice had suitable safeguarding processes and staff understood their responsibilities for safeguarding adults and children.
• The practice had recruitment policies and procedures and used these to help them check the staff they employed were suitable. The practice obtained the correct information for new staff but their written policy and procedures did not fully reflect the requirements of legislation.
• Dental care records provided comprehensive information about patients’ care and treatment. They contained evidence that the dentists took patients general health into account and communicated appropriately with other health professionals.
• Staff received training appropriate to their roles and were supported in their continued professional development.
• Patients were able to make routine and emergency appointments when needed.
• The practice had systems including audits to assess, monitor and improve the quality and safety of the services provided.
• The practice had systems to assess, monitor and mitigate the risks relating to the health, safety and welfare of patients, staff and visitors.

There were areas where the provider could make improvements and should:

• Review the practice’s recruitment policy to fully reflect the requirements of Regulation 19(3) and Schedule 3 of the Health & Social Care Act 2008 (Regulated Activities) Regulations 2014.