• Dentist
  • Dentist

Archived: Mr Ashruf Peer - Bicester

98 Sheep Street, Bicester, Oxfordshire, OX26 6LP (01869) 252788

Provided and run by:
Mr. Ashruf Peer

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

All Inspections

15 August 2023

During an inspection looking at part of the service

We undertook a follow up focused inspection of Mr Ashruf Peer Bicester on 15 August 2023.

This inspection was carried out to review 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 advisor.

We had previously undertaken a comprehensive inspection of Mr Ashruf Peer Bicester on 17 April 2023 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 Mr Ashruf Peer Bicester on our website www.cqc.org.uk.

When 1 or more of the 5 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 area where improvement was required.

As part of this inspection, we asked:

• Is it well-led?

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/es we found at our inspection on 17 April 2023

Background

Mr Ashruf Peer Bicester, trading as Bicester Dental Care. is in Bicester 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 2 dentists, 2 student dental nurses and 1 practice manager (who is also a nurse)

The practice has 3 treatment rooms.

During the inspection we spoke with 2 dentists, 1 receptionist and the practice manager.

We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

  • 8.00am to 5.30pm Monday to Thursday
  • 8.00am to 12.30pm Friday

17 April 2023

During a routine inspection

We carried out this announced comprehensive inspection on 17 April 2023 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’s infection control procedures were not effective.
  • Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
  • Improvements were needed to 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.
  • Staff recruitment procedures were not operated effectively.
  • Clinical staff provided patients’ care and treatment in line with current guidelines.
  • Patients were treated with respect.
  • Improvements were needed to protocols to protect patients’ privacy.
  • 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 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.

Background

Ashruf Peer Bicester, trading as Bicester Dental Care. is in Bicester 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:

  • 2 dentists
  • 1 practice manager (who is also a nurse)
  • 2 student dental nurses

The practice has 3 treatment rooms.

During the inspection we spoke with 2 dentists, 2 trainee dental nurses, 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 8.00am to 5.30pm
  • Tuesday 8.00am to 5.30pm
  • Wednesday 8.00am to 5.30pm
  • Thursday 8.00am to 5.30pm
  • Friday 8.00am to 12.30pm

We identified regulations the provider was/is 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.

There were areas where the provider could make improvements.

They should:

  • Improve the practice protocols to ensure patient referrals to other dental or health care professionals are centrally monitored to ensure they are received in a timely manner and not lost.


The provider accepted the shortfalls that we raised and took immediate action on the day of our inspection to begin to address these.

Where evidence is sent that shows the relevant issues have been acted on, we have stated this in our report, but we cannot say that the practice is compliant for that key question as this would not be an accurate reflection of what was found on the day of our inspection.

12 February 2014

During a routine inspection

When we visited Bicester Dental Care we spoke to four patients, a dental nurse, the assistant practice manager, a receptionist and both dentists. We looked at treatment plans and found that there was a detailed record of completed dental assessments and treatment. Patients were pleased with the care and treatment they had received and found the staff friendly and polite. Patients told us, "both dentists are very good they talk to you and explain the treatment", "both dentists are first class and give personal treatment", "the dentists are professional and human, this is an exceptional practice" and "all the staff are very pleasant".

The practice was clean throughout and instruments were cleaned and sterilised effectively. The staff had been trained in safeguarding children but not vulnerable adults. We also found that quality monitoring systems were in place that included seeking the views of patients that used the service. Systems had been audited to help ensure that they were effective and actions had been taken where improvements were required.