• Dentist
  • Dentist

North West London Dental Practice

93-95 South Road, Southall, Middlesex, UB1 1SQ 07846 086685

Provided and run by:
Sage Dental Practice Limited

Important: The provider of this service changed - see old profile

All Inspections

21/07/2023

During an inspection looking at part of the service

We undertook an unannounced follow up focused inspection of The White House Dental Practice on 21 July 2023. 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 was supported by a specialist dental advisor and a second CQC inspector.

We had previously undertaken a comprehensive inspection of The White House Dental Practice on 20 April 2023 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 and well-led care and was in breach of regulations 17, 18 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 The White House Dental Practice on 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 20 April 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 breaches we found at our inspection on 20 April 2023.

Background

The White House Dental Practice is in Southall and provides NHS dental care and treatment for adults and children.

There is level 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 specific needs.

The dental team includes 2 principal dentists, 12 associate dentists, 2 foundation training dentists, 7 dental nurses, 15 trainee dental nurses, 2 dental therapists, 2 decontamination operators, 6 receptionists 1 compliance manager and 1 practice manager who is also a qualified dental nurse. The practice has 8 treatment rooms.

During the inspection we spoke with the 2 principal dentists, 3 associate dentists, 4 dental nurses, 3 trainee dental nurses, 1 dental therapist, 1 receptionist, the compliance manager 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 to Friday from 9am to 6pm

Saturday from 9am to 5pm

Sunday open for NHS 111 dental emergency service.

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

  • Improve the practice's protocols and procedures for the use of X-ray equipment in compliance with The Ionising Radiations Regulations 2017 and Ionising Radiation (Medical Exposure) Regulations 2017 and taking into account the guidance for Dental Practitioners on the Safe Use of X-ray Equipment.

20/04/2023

During a routine inspection

We carried out this unannounced comprehensive inspection on 20 April 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 second CQC inspector and 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 reflected published guidance.
  • Clinical staff provided patients’ care and treatment in line with current guidelines.
  • 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.
  • Complaints were dealt with positively and efficiently.
  • Patients were asked for feedback about the services provided
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children. Improvements were required to ensure all staff completed safeguarding training at a level appropriate to their role.
  • Appropriate medicines and life-saving equipment were available, and staff we spoke with knew how to deal with medical emergencies. Improvements were however required to ensure all staff received Basic Life Support training.
  • The practice did not have effective systems to help them manage risks to patients and staff.
  • There were ineffective systems to support continuous improvement.
  • There were ineffective systems to ensure that staff were up to date with their training.
  • The practice did not have staff recruitment procedures which reflected current legislation.
  • Improvements were needed to the Information Governance policy to take account of the General Data Protection Regulation (GDPR) 2018 requirements.
  • Staff generally worked as a team. Improvements were needed to ensure that they were supported and involved in the delivery of care and treatment.
  • There was ineffective leadership and a lack of oversight for the day-to-day management of the service.

Background

The White House Dental Practice is in Southall, within the London Borough of Ealing and provides NHS 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 2 principal dentists, 10 associate dentists, 2 foundation training dentists, 2 dental therapists, 10 dental nurses, 1 compliance administrator, 4 receptionists and 2 account and practice managers. The practice has 8 treatment rooms.

During the inspection we spoke with one of the principal dentists, a foundation training dentist, a dental nurse, 2 trainee dental nurses, 2 receptionists and the compliance administrator. We also spoke with a compliance consultant. Following the inspection, we spoke with the other principal dentist. We looked at practice policies, procedures and other records to assess how the service is managed.

The practice is open:

Monday to Friday from 9am to 6pm

Saturday from 9am to 5pm

Sunday open for NHS 111 dental emergency service

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

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties.
  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
  • Ensure specified information is available regarding each person employed.

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:

  • Improve the practice's protocols and procedures for the use of X-ray equipment in compliance with The Ionising Radiations Regulations 2017 and Ionising Radiation (Medical Exposure) Regulations 2017 and taking into account the guidance for Dental Practitioners on the Safe Use of X-ray Equipment.
  • Implement systems for environmental cleaning taking into account the guidelines issued by the Department of Health - Health Technical Memorandum 01-05: Decontamination in primary care dental practices.
  • Implement audits for prescribing of antibiotic medicines taking into account the guidance provided by the College of General Dentistry.
  • Improve the practice protocols regarding auditing patient dental care records to check that necessary information is recorded.

29 August 2017

During a routine inspection

We carried out this announced inspection on 29 August 2017, 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 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:

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

White House Dental Practice is in London Borough of Ealing and provides NHS treatment to patients of all ages.

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

The dental team includes 15 dentists, eight dental nurses, nine trainee nurses, 6 receptionists and one practice manager. The practice has eight treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at White House Dental Practice was the clinical director.

On the day of inspection we collected 41 CQC comment cards filled in by patients. This information gave us a positive view of the practice.

During the inspection, we spoke with one dentist, two dental nurses and one practice manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

  • Monday, Wednesday, Thursday and Friday: 9:00am to 6:00pm
  • Tuesday: 9:00am to 8:00pm
  • Saturday: 9:00am to 5:00pm
  • Sunday: emergency out of hours services 9:00 am to 2:00pm

Our key findings were:

  • The practice was clean and well maintained.
  • The practice had infection control procedures that reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risk.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The appointment system met patients’ needs.
  • The practice had effective leadership. Staff felt involved, supported, and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice dealt with complaints positively and efficiently.

We identified areas of notable practice:

The provider proactively engaged with the local community in a variety of ways to improve oral health for various population groups, for example:

  • Running a Mini Molar Club for children under the age of 11. The activities included, visiting local school assembly's and providing access to online video games and videos. The club also gave joining members a free goodie bag which includes; membership cards, games and puzzles.
  • Partnering with various local and national initiatives to raise oral health awareness, for example, the East African Senior Citizens Association, the Mael Gael and Sunrise Radio.