The Care Quality Commission
  • Dentist
  • Dentist

Bright On Smiles

159 Church Road, Hove, East Sussex, BN3 2AD (01273) 777790

Provided and run by:
Dr. Shala Imani

All Inspections

27 October 2020

During an inspection looking at part of the service

We undertook a follow-up focused inspection of Bright On Smiles on 27 October 2020. This inspection was carried out to review in detail 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 was supported by a specialist dental adviser.

We undertook a focused inspection of Bright On Smiles on 17 September 2020 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, 15, 17 and 19 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 Bright On Smiles on our website www.cqc.org.uk.

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 17 September 2020.

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 breaches we found at our inspection on 17 September 2020.

Background

Bright On Smiles is in Brighton and provides NHS and private treatment for adults and children.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.

The dental team includes three dentists, three dental nurses, one dental therapist one receptionist and a practice manager. Staff work between this practice and the sister practice, South Coast Dental Centre. The practice has one treatment room.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

During the inspection we spoke with one dentist, one dental nurse and the dental hygienist / therapist. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

Monday, Tuesday, Thursday and Friday from 9:00am to 5:30pm

Wednesday from 9:00am to 7:00pm

Our key findings were:

  • Medical emergency equipment and medicines reflected nationally recommended guidance with the exception of four sizes of mask for the self-inflating resuscitation bag.
  • Infection prevention and control procedures reflected nationally recognised guidance.
  • A fire risk assessment had been carried out and recommended actions were being implemented.
  • The instrument steriliser had been serviced and validated.
  • A system to ensure general stock did not pass the expiry dates had been implemented.
  • A system of clinical governance had been implemented to assist with good governance in the long term.

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

  • Take action to ensure the availability of equipment in the practice to manage medical emergencies taking into account the guidelines issued by the Resuscitation Council (UK).

17 September 2020

During an inspection looking at part of the service

We carried out this unannounced focussed inspection on 17 September 2020 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 provider 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.

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 not providing safe care in accordance with the relevant regulations.

Are services well-led?

We found this practice was not providing well-led care in accordance with the relevant regulations.

Background

Bright On Smiles is in Brighton and provides NHS and private treatment for adults and children.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.

The dental team includes three dentists, three dental nurses, one dental therapist one receptionist and a practice manager. Staff work between this site and the sister practice of South Coast Dental Centre. The practice has one treatment room.

The practice is owned by an individual who is the principal dentist there. They have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run.

During the inspection we spoke with the receptionist.

The practice is open:

Monday, Tuesday, Thursday and Friday from 9:00am to 5:30pm

Wednesday from 9:00am to 7:00pm

Our key findings were:

  • Infection control procedures did not reflect published guidance.
  • Emergency medicines had either passed their expiry date or were unavailable.
  • The risks associated with fire had not been appropriately managed.
  • Clinical governance arrangements were not effective.
  • Systems and processes to identify and manage the risks associated with the carrying out of the regulated activities were not effective.

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

  • Ensure care and treatment is provided in a safe way to patients
  • Ensure all premises and equipment used by the service provider is fit for use
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

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

25 April 2013

During a routine inspection

During our inspection we spoke with five patients. We spoke with four staff; these were the dental practitioner, the practice manager, a dental nurse and the receptionist. We also took information from other sources to help us understand the views of people who used the service, which included a patient satisfaction questionnaire and staff meeting minutes.

The patients we spoke with told us that they thought they had received good dental treatment from the dentist and the team. One patient told us 'They are massively reliable; she is 10 out of 10 and always delivers to a high level. Another patient we spoke with told us 'The dentist is always thorough and gentle. She explains everything to me and makes me aware of the costs and options available. I always decide what option to take but it is good to know the options.'

We saw that practice staff were well trained and supported. A member of staff told us 'It's an extremely friendly place. It's a good place to come if you have even the slightest phobia of the dentist because our dentist is really good and calming with people.' There were effective systems in place to reduce the risk and spread of infection. We saw safeguarding and whistle blowing policies and procedures that were in place for both children and adults who used the practice.