Updated 10 November 2022
We carried out this announced inspection on 17 October 2022 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 adviser.
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 form the framework for the areas we look at during the inspection.
Our findings were:
- The dental clinic was visibly clean and well-maintained.
- 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 help them manage risk to patients and staff. However, improvements were required in regards to assessing the risks of fire.
- 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.
- The clinical staff provided patients’ care and treatment in line with current guidelines.
- Patients were treated with dignity and respect and staff took care to protect their privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- The appointment system took account of patients’ needs.
- There was effective leadership and a culture of continuous improvement. However, improvements were required to the frequency of x-ray audits.
- Staff felt involved and 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 dental clinic had information governance arrangements.
Background
Dr Ashish Deved is a dental practice in the London Borough of Bromley and provides private dental care and treatment for adults and children.
The building is not accessible for people who use wheelchairs and those with pushchairs. The practice refers patient to practices that are accessible for these patients. Car parking spaces, including dedicated parking for disabled people, are available near the practice.
The dental team includes 3 dentists, 2 dental nurses, 1 dental hygienist, 1 receptionist and a practice manager. The practice has 2 treatment rooms.
During the inspection we spoke with a dentist, a dental nurse, the dental hygienist, the receptionist and the practice administrator. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday – Friday - 8am – 7pm
Saturday 8am – 6pm
There were areas where the provider could make improvements. They should:
- Take action to ensure audits of radiography are undertaken at regular intervals to improve the quality of the service. The practice should also ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.
- Implement protocols for the use of closed circuit television cameras taking into account the guidelines published by the Information Commissioner's Office.
- Take action to implement any recommendations in the practice's fire safety risk assessment and ensure ongoing fire safety management is effective.