• Dentist
  • Dentist

Smilemaker Dental Practice

5 Sevenoaks Road, Orpington, Kent, BR6 9JH (01689) 823280

Provided and run by:
Smilemaker Dental Practice Limited

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

All Inspections

03/08/2020

During an inspection looking at part of the service

We undertook a follow up desk-based review on 3 August 2020. This review was carried out to follow up on 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 review was led by a CQC inspector who had remote access to a specialist dental adviser.

We undertook a comprehensive inspection of Smilemaker Dental Practice on 17 May 2019 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 regulation 12 -Safe care and treatment, Regulation 17 - Good governance, Regulation 18 Staffing , Regulation 19 Fit an proper person employed 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 Smilemaker Dental Practice on our website www.cqc.org.uk.

As part of this review we asked:

• Is it safe?

• Is it well-led?

When one or more of the five questions are not met we require the service to make improvements.

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 May 2019.

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 May 2019.

Background

Smilemaker Dental Practice is in Orpington and provides private treatment for adults and children.

There is no level step-free access for people who use wheelchairs or those with pushchairs. Car parking spaces are available on the premises.

The practice has two treatment rooms.

The dental team includes a practice manager, five dentists, two dental hygienists, three qualified dental nurses, and two receptionists.

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 Smilemaker Dental Practice is the principal dentist.

The practice is open at the following times:

Monday and Tuesday: 8:15am-5:45pm

Wednesday: 8:30am-5:30pm

Thursday: 8:15am-7:00pm

Friday: 8:00am-5:45pm

Saturday and Sunday: 10:00am-3:00pm

Our key findings were:

• The provider had systems in place to prevent the spread of infection, including an infection control policy.

• There was enough equipment available to manage medical emergencies.

• There were suitable systems in place in relation to gas and electrical safety, including safety checks.

• The provider had systems in place to check staff had suitable immunity to Hepatitis B.

• There were systems in place to record serious incidents

• Staff had undertaken relevant training appropriate to their jobs.

• There were systems in place to check, employment histories, proof of identity, satisfactory

evidence of conduct in previous employment, professional qualifications and criminal background checks.

17 May 2019

During a routine inspection

We carried out this announced inspection on 17 May 2019 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.

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 not 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 not providing well-led care in accordance with the relevant regulations.

Background

Smilemaker Dental Practice is in Orpington, in the London Borough of Bromley. The practice provides NHS and private treatment to adults and children.

There is no level step-free access for people who use wheelchairs or those with pushchairs. Car parking spaces are available on the premises.

The practice has two treatment rooms.

The dental team includes a practice manager (who also undertakes a dental nursing role), five dentists, two dental hygienists, two qualified dental nurses, and two receptionists.

The practice is owned by a company, and as a condition of registration must have a person registered with the CQC 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 practice is the principal dentist.

On the day of the inspection, we collected eight CQC comment cards filled in by patients.

During the inspection we spoke with the practice manager, the principal dentist, a dental nurse and a receptionist. We checked practice policies and procedures and other records about how the service is managed.

The practice is open at the following times:

Monday and Tuesday: 8:15am-5:45pm

Wednesday: 8:30am-5:30pm

Thursday: 8:15am-7:00pm

Friday: 8:00am-5:45pm

Saturday and Sunday: 10:00am-3:00pm

Our key findings were:

  • The practice appeared clean.
  • Staff felt supported and worked well as a team. They treated patients with respect and protected their privacy and personal information.
  • The appointment system took account of patients’ needs.
  • The provider had procedures to help them deal with complaints.
  • Staff knew their responsibilities for safeguarding vulnerable adults and children.
  • The clinical staff provided patients’ care and treatment in line with current guidelines. They were providing preventive care and supporting patients to ensure better oral health.

  • The provider had not established thorough staff recruitment procedures.
  • The provider had not implemented suitable systems for monitoring fire and electrical safety.
  • The provider had not suitably assessed and mitigated risks. There was no sharps risk assessment. Risk assessments for hazardous chemicals were not fit for purpose.
  • The provider had not undertaken a suitable Disability Access audit to continually assess how they could improve access for patients with enhanced needs.
  • The provider’s infection prevention and control procedures did not reflect published guidance in some areas.
  • The practice did not follow current national guidance regarding staff training when undertaking dental treatment using conscious sedation.
  • The provider had not ensured that suitable policies were available to staff.

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

  • Ensure care and treatment is provided in a safe way to patients.
  • 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 the duties.
  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

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

5 August 2013

During a routine inspection

People we spoke with told us they were happy with the care provided by the practice. One person said they had been with the surgery for many years and said 'I have never had any reason to complain'. Another person said they were enabled to make informed choices and were 'very satisfied' by the dental care they and their family members received. They told us they always found the surgery clean and well maintained. Another person we spoke with said, 'I would give them full marks'.

We found that the people who used the service were involved in their care planning and received treatment which was based on an assessment of their needs. The surgery was clean and well maintained at the time of our visit and staff followed suitable infection control practices. Staff received suitable training and were supported in their professional development. Clinical and other records were stored securely.