• Dentist
  • Dentist

Bespoke Smile

42 High Street, Marlow, Buckinghamshire, SL7 1AW (01628) 488538

Provided and run by:
Bespoke Smile Limited

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

All Inspections

10 February 2023

During an inspection looking at part of the service

We undertook a follow up focused inspection of Bespoke Smile on 10 February 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 had remote access to a specialist dental advisor.

We had previously undertaken a comprehensive inspection of Bespoke Smile Marlow on 10 January 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 well-led care and was in breach of regulation 17 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 Bespoke Smile 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 well-led?

Our findings were:

  • There were effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

  • Recruitment procedures were operated effectively to ensure only fit and proper persons are employed and specific information is available regarding each person employed.

10 January 2023

During a routine inspection

We carried out this announced comprehensive inspection on 10 January 2013 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 specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we ask five key questions:

  • Is it safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive?
  • Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

  • The dental practice was visibly clean.
  • Patients were treated with dignity and respect and staff took care to protect their personal information.
  • Staff knew how to deal with medical emergencies.
  • The provider did not operate effective systems to help them manage risk to patients and staff. Improvements were needed to the management of fire safety, infection control, COSHH and legionella.
  • Staff felt involved and supported and worked as a team.
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • Staff recruitment procedures were not operated effectively.
  • The appointment system took account of patients’ needs.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • Staff training was not monitored effectively.
  • Complaints were dealt with positively and efficiently.

Background

Bespoke Smile Marlow is in Marlow and provides private dental care and treatment for adults and children.

The practice is based on the first floor. New patients are advised of this when they contact the practice.

Car parking spaces, including dedicated parking for disabled people, are available near the practice.

The dental team includes 4 dentists, 1 dental specialist, 4 dental nurses, 1 student dental nurse, 1 dental therapist, 1 treatment coordinator, a receptionist and a business director.

The practice has 2 treatment rooms and a consultation room.

During the inspection we spoke with 2 dentists, 2 dental nurses, an administrator and a receptionist. We also spoke to one of the practice partners by teleconference.

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

The practice is open:

  • Monday 9am to 5pm
  • Tuesday 8am to 5pm
  • Wednesday 9am to 5pm
  • Thursday 9am to 5pm
  • Friday 9am to 5pm
  • Saturday by appointment

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 recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed and specific 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:

  • Implement a system to ensure patient referrals to other dental or health care professionals are centrally monitored to ensure they are received in a timely manner and not lost.

Where evidence is sent that shows the relevant issues have been acted on, we have stated this in our report but we cannot say that the practice is compliant for that key question as this would not be an accurate reflection of what was found on the day of our inspection.