Bentley Road

We carried out this announced inspection on 6 January 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.

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

Are services effective?

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

Are services caring?

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

Are services responsive?

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

Are services well-led?

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

Background

Bentley Road Dental Practice is in Doncaster 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 are available near the practice on local roads.

The dental team includes six dentists, six dental nurses and two receptionists and a practice manager. The practice has six treatment rooms.

The practice is owned by a partnership 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 Bentley Road Dental Practice is the practice manager.

During the inspection we spoke with three dentists, two dental nurses and the practice manager.

We looked at practice policies and procedures and other records about how the service is managed.

The practice is open: Monday to Friday 8am – 5:30pm.

Our key findings were:

• The practice appeared to be visibly clean and well-maintained.
• The provider had infection control procedures which reflected published guidance.
• Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
• The provider had systems to help them manage risk to patients and staff.
• The provider had safeguarding processes and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The provider had staff recruitment procedures which reflected current legislation.
• The system to oversee the completion of ‘highly recommended training’ could be improved.

• The system to ensure staff have adequate immunity for vaccine preventable infectious diseases could be improved.

• The clinical staff provided patients’ care and treatment in line with current guidelines.
• Staff awareness of the risks associated with sepsis was limited.
• Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
• CCTV was in operation at the practice, a policy and privacy impact assessment were required to support its use.
• Staff provided preventive care and supported patients to ensure better oral health.
• The appointment system took account of patients’ needs.
• The provider had effective leadership.
• The practice had a culture of continuous improvement; improvements could be made to ensure audits were completed in line with guidance. In particular; radiography audits.
• Staff felt involved and supported and worked as a team.
• The provider asked staff and patients for feedback about the services they provided.
• The provider dealt with complaints positively and efficiently.
• The provider had information governance arrangements.

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

• Review current systems to ensure staff remain up to date with their continuing professional development. In particular: Safeguarding and infection prevention and control training.
• Take action to ensure audits of radiography are carried out in line with guidance published by the Faculty of General Dental Practice, Selection Criteria for Dental Radiography. The provider should also ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated.
• Take action to ensure that all clinical staff have adequate immunity for vaccine preventable infectious diseases.

• Take action to ensure all staff have received sepsis awareness training in line with guidance published by the National Institute for Health and Care Excellence.
• Implement protocols for the use of closed-circuit television cameras taking into account the guidelines published by the Information Commissioner's Office.