Porterbrook Dental Centre

Updated 24 February 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

During the inspection we received feedback from 18 patients. We also spoke with the dentist and both dental nurses. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 24 February 2017

We carried out an announced comprehensive inspection on 5 January 2017 to ask the practice the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

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

Are services effective?

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

Are services caring?

We found that this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

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

Are services well-led?

We found that this practice was providing well-led care in accordance with the relevant regulations.

Background

Porterbrook Dental Centre is situated in Sheffield, South Yorkshire. The practice offers privately funded dental treatments. The services include preventative advice and treatment, routine restorative dental care and dental implants.

The practice is located within a medical centre, has two surgeries, a decontamination room, a spacious waiting area, a reception area and an office. All of the facilities are on the ground floor of the premises along with accessible toilets.

There is one dentist and two dental nurses (one of whom is a trainee). The practice also employs a specialist restorative dentist.

The opening hours are Monday to Friday 9-00am to 7-00pm. Appointments are available on a Saturday by prior arrangement only.

The principal dentist is registered with the Care Quality Commission (CQC) as an individual. Registered persons 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 received feedback from 18 patients. The patients were positive about the care and treatment they received at the practice. Comments included staff were professional,caring and their needs were met. They also commented the dentist explained the treatments well and the premises appeared clean and safe.

Our key findings were:

• The practice was visibly clean and uncluttered.

• Staff were qualified and had received training appropriate to their roles.
• Patients were involved in making decisions about their treatment and were given clear explanations about their proposed treatment including costs, benefits and risks.
• Dental care records showed treatment was planned in line with current best practice guidelines.
• Oral health advice and treatment were provided in-line with the ‘Delivering Better Oral Health’ toolkit (DBOH).
• We observed patients were treated with kindness and respect by staff.
• There was a warm and welcoming feel to the practice.
• Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood.
• The practice had a complaints system in place and there was an openness and transparency in how these were dealt with.
• Patients were able to make routine and emergency appointments when needed.
• The governance systems were effective.
• There were clearly defined leadership roles within the practice and staff told us they felt supported, appreciated and comfortable to raise concerns or make suggestions.
• Some areas surrounding risk management required improvement.

There were areas where the provider could make improvements and should:

• Review availability of a secondary dose of adrenaline to manage anaphylaxis giving due regard to guidelines in the British National Formulary (BNF).
• Review the practice’s protocols for medicines management and ensure a log of prescription only medicines is implemented.
• Review the protocol for making appropriate notes of verbal references taken.
• Review the practice’s process to assess, monitor and mitigate the various risks arising from undertaking of the regulated activities.