• Dentist
  • Dentist

St Mary's Dental Care

163 St Mary's Lane, Upminster, Essex, RM14 3BL (01708) 229330

Provided and run by:
Dr. Mia Mahnoosh Rafiee

Important: We are carrying out a review of quality at St Mary's Dental Care. We will publish a report when our review is complete. Find out more about our inspection reports.

All Inspections

11 March 2024

During an inspection looking at part of the service

We undertook a follow up focused inspection of St Mary's Dental Care On 11 March 2024. 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 St Mary's Dental Care

on 28 February 2024 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 safe or well-led care and was in breach of regulations 12 and 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 St Mary's Dental Careon 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 areas where improvement was required.

As part of this inspection we asked:

:

  • Is it safe?
  • Is it well-led?

Our findings were:

Are services safe?

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

The provider had made improvements in relation to the regulatory breaches we found at our inspection on 10 February 2023.

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 10 February 2023.

Background

St Mary’s Dental Care is in Upminster in the London Borough of Havering 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 practice is situated close to public transport bus and rail services.

The dental team includes 2 dentists, 1 visiting sedationist, 1 qualified dental nurse, 1 trainee dental nurse, 1 dental hygienist and 2 receptionists. The practice has 2 treatment rooms.

During the inspection we spoke with the practice manager. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday to Thursday 9am – 6pm

Friday 9am – 7pm

Saturday 9am – 6pm.

10 Feb 2023

During a routine inspection

We carried out this announced comprehensive inspection on 10 February 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 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.
  • We found shortfalls in assessing and mitigating risks in relation to substances hazardous to health, premises and medicines management.
  • The practice carried out dental care treatment under conscious sedation, however, they did not have the reversal medicine on site.
  • 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, however, patient care records lacked detail.
  • 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.
  • The practice’s arrangements for ensuring good governance needed improving to ensure sustainability in the long term.
  • Staff felt involved, supported and worked as a team.

Background

This report is about St Mary’s Dental Care.

St Mary’s Dental Care is in Upminster in the London Borough of Havering 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 practice is situated close to public transport bus and rail services.

The dental team includes 2 dentists, 1 visiting sedationist, 1 qualified dental nurse, 1 trainee dental nurse, 1 dental hygienist and 2 receptionists. The practice has 2 treatment rooms.

During the inspection we spoke with 1 dentist, the trainee dental nurse and 1 receptionist. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday to Thursday 9am – 6pm

Friday 9am – 7pm

Saturday 9am – 6pm.

We identified regulations the provider was not complying with. They must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

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

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

  • Implement an effective system for monitoring and recording the fridge temperature to ensure that medicines and dental care products are being stored in line with the manufacturer’s guidance.

  • Implement an effective system for receiving and responding to patient safety alerts, recalls and rapid response reports issued by the Medicines and Healthcare products Regulatory Agency, the Central Alerting System and other relevant bodies, such as Public Health England.

  • Take action to ensure the clinicians take into account the guidance provided by the College of General Dentistry when completing dental care records.

  • Implement audits for prescribing of antibiotic medicines taking into account the guidance provided by the College of General Dentistry.

13 March 2012

During a routine inspection

People we spoke with told us that they felt they were respected and treated well. They said possible treatments were explained clearly and that they were able to ask questions to clarify anything..They said there was a good system for booking appointments and they were given choice about appointment times to suit their convenience.

People told us that all staff, including dental staff were friendly and polite towards them. They also told us they did not have to wait long, either for an appointment when booking or to be seen by a dentist on the day of the appointment.