The Care Quality Commission
  • Dentist
  • Dentist

Broadhurst Dental Practice

86 Alexandra Road, Farnborough, Hampshire, GU14 6DD (01252) 545313

Provided and run by:
Mr. Majid Farshchi

All Inspections

9 January 2024

During a routine inspection

We carried out this announced comprehensive inspection on 9 January 2024 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 had infection control procedures which did not always reflect 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. However, risks around the management of fire safety and Legionella required review.
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • Improvements were underway to staff recruitment procedures to ensure these always reflected current legislation.
  • Clinical staff provided patients’ care and treatment in line with current guidelines.
  • 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.
  • There was effective leadership and a 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.
  • The practice had information governance arrangements.

Background

Broadhurst Dental Practice is in Farnborough, Hampshire 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 4 dentists, 3 dental nurses, 3 dental hygienists, 1 practice manager and 1 receptionist. The practice has 3 treatment rooms.

During the inspection we spoke with 4 dentists, 3 dental nurses, 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:

Monday – Thursday: 8am – 5pm

Friday: 8am-1pm

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

  • Take action to appoint a competent person(s), to carry out any of the preventive and protective measures, taking into account The Regulatory Reform (Fire Safety) Order 2005.
  • Take action to implement any recommendations in the practice's fire safety risk assessment and ensure ongoing fire safety management is effective.
  • Improve the practice’s infection control procedures and protocols taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices, and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance’. In particular, review the timeliness of Infection Prevention and Control (IPC) audits, ensure the appropriate storage of clinical waste and review systems to manage the risks associated with Legionella.
  • Improve the practice's recruitment policy and procedures to ensure accurate, complete and detailed records are maintained for all staff.

During a check to make sure that the improvements required had been made

Following our inspection of 20 November 2012, the provider made improvements to the equipment available to cleaning staff. The provider also introduced effective and detailed cleaning and infection control policies and procedures. The introduction of the schedules, and relevant checklists, allowed the service to record cleaning carried out and to fully monitor and assess the cleaning procedures and infection control measures taken. The provider had ensured that people using the service were protected from the risk of infection and that the service was delivered in a clean environment.

20 November 2012

During a routine inspection

Two people completed our questionnaires and we spoke to three people on the telephone to gather their views and experiences of this service.

Everyone told us they were always treated with respect and they were given enough information to make an informed choice about their treatment.

People praised the dentist and the staff and said they were very satisfied with the service.

People told us they felt safe at the practice and they felt confident that they could speak to any of the staff if they had any concerns or wanted to make a complaint.

We found that when a complaint had been made the provider had managed this efficiently and followed their own procedures.

People said they felt the surgery was always clean and welcoming.

We found that, although the staff were effectively cleaning all the instruments and equipment there was not a system in place to ensure the premises were cleaned according to the required guidelines. The staff had not followed the Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and they were using inappropriate cleaning equipment when cleaning the floors throughout the practice.