The Care Quality Commission
  • Dentist
  • Dentist

Carlton Dental Care

362 Carlton Hill, Carlton, Nottingham, Nottinghamshire, NG4 1JB (0115) 987 9500

Provided and run by:
Carlton Dental Care Limited

Important: The provider of this service changed. See old profile

All Inspections

1 June 2021

During an inspection looking at part of the service

We carried out this announced focussed inspection 1 June 2021 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 asked the following three questions:

• Is it safe?

• Is it effective?

• 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 well-led?

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

Background

Carlton Dental Care is in the Carlton area of Nottingham and provides NHS and private 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 people with disabilities, are available near the practice.

The dental team includes 11 dentists including two specialist oral surgeons and two foundation dentists, seven dental nurses including two trainee dental nurses, one dental hygienist, one treatment co-ordinator, one receptionist and a practice manager. The practice has eight treatment rooms, four are located on the ground floor.

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 Carlton Dental Care is the principal dentist.

During the inspection we spoke with two dentists, three 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: 9am to 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 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.
  • Medicines dispensed by the practice were not always labelled according to Regulations.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The provider had effective leadership and a culture of continuous improvement.
  • The system of audits should be reviewed to ensure all data is captured and areas for improvement identified.
  • Staff felt involved and supported and worked as a team.
  • Improvements could be made to the Control of Substances Hazardous to Health Regulations 2002 records with risk assessments for each product.

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

  • Improve the practice's processes for the control and storage of substances hazardous to health identified by the Control of Substances Hazardous to Health Regulations 2002, to ensure risk assessments are undertaken and the products are stored securely.

  • Improve systems to ensure medicines dispensed from the practice were labelled according to the Human Medicines Regulations 2012.

  • Take action to ensure that, where appropriate, audits have documented learning points and the resulting improvements can be demonstrated. In addition, the information used for audits should be accurate and where appropriate specific to named clinicians.

13 October 2015

During a routine inspection

We carried out an announced comprehensive inspection on 13 October 2015 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

Carlton Dental Care was registered with the Care Quality Commission (CQC) in April 2014 to provide dental services to patients in north Nottingham and the surrounding areas. The practice provides both NHS and private dental treatment, with approximately 60% being NHS patients. Services provided include general dentistry, dental hygiene, teeth whitening, crowns and bridges, and root canal treatment. The practice is open Monday to Friday 9:00 am to 5:30 pm. Access for urgent treatment outside of opening hours is usually through the NHS 111 telephone line. A separate telephone line is available for patients using a private dental scheme.

The practice has five dentists, one hygienist/ therapist, and six dental nurses. There is a practice manager, a reception manager and one receptionist.

The practice manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. 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.

We received feedback from 44 patients about the services provided. We saw that most of the feedback was positive, with only one negative comment. This related to the difficulty with sometimes getting an appointment. This person also said that once they had an appointment the treatment was very good, and they had no other problems. Patients said they were extremely happy with the service provided, and spoke positively about their experience at this dentist and with the whole staff team. Patients said they were treated well at the practice, and that staff were friendly and approachable, they were able to ask questions, and the dentist explained the treatment options and costs.

Our key findings were:

  • The practice recorded accidents, significant events and complaints.
  • Learning from any complaints and significant incidents were recorded and learning was shared with staff.
  • All staff had received whistle blowing training and were aware of these procedures and the actions required.
  • Patients said they were happy and satisfied with the dental service they received, and several said they were very happy.
  • Patients said they were treated with dignity and respect.
  • Records showed there were sufficient numbers of suitably qualified staff to meet the needs of patients.
  • Staff had been trained to deal with medical emergencies.
  • Emergency medicines, an automated external defibrillator (AED) and oxygen were readily available. An AED is a portable electronic device that automatically diagnoses life threatening irregularities of the heart and delivers an electrical shock to attempt to restore a normal heart rhythm.
  • The practice followed the relevant guidance from the Department of Health's: ‘Health Technical Memorandum 01-05 (HTM 01-05) for infection control.
  • Patients’ care and treatment was planned and delivered in line with National Institute for Health and Care Excellence (NICE) guidelines.
  • Patients were involved in making decisions about their treatment
  • Options for treatment were identified and explored and discussed with patients.
  • Patients’ confidentiality was maintained.

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

  • Review the use of test strips when using the autoclave.
  • Review the condition of the clinical waste bin outside, so that it is either repaired or replaced.
  • Review the details of patients’ consent within their records to make sure there is a full and complete record.
  • Review the use of rubber dams in accordance with the British Endodontic Society guidance.
  • Review the process for recording significant events and complaints are recorded.

9 August 2013

During a routine inspection

We spoke with one patient who told us about their experience of using the service. We also looked at thirteen patient responses to a recent quality audit undertaken by the provider. We spoke with the practice manager and two dental nurses. We looked at treatment records, recruitment records and checked the environment.

We found the dental team were working together to provide a quality service. Checks were made by the provider to ensure the staff team had appropriate professional registration.

Patient's diversity, values and human rights were respected. Patients told us that they were treated respectfully and 100% of the patient responses to the provider's recent quality survey supported that patients felt they were treated well.

Patients told us they always found the premises very clean. We found that the provider had systems in place to ensure patient's experienced care in a clean environment and were protected from acquiring infections.