Hadleigh Dental Practice

We carried out this announced comprehensive inspection on 13 March 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 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 practice had infection control procedures which reflected published guidance.
• Staff knew how to deal with medical emergencies. Appropriate medicines and life-saving equipment were available.
• The practice had systems to manage risks for patients and staff.
• Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
• The practice had staff recruitment procedures which reflected current legislation.
• Clinical staff provided patients’ care and treatment in line with current guidelines.
• Patients were treated with dignity and respect.
• Staff provided preventive care and supported patients to ensure better oral health.
• Premises and equipment were clean and maintained and the practice followed national guidance for cleaning, sterilising and storing dental instruments. However, we noted areas of damage to the work surface, splashback and floor tile in one treatment room, making cleaning of these areas difficult. In addition, the five-yearly electrical fixed wire testing had not been undertaken.
• 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.
• There was effective leadership and a culture of continuous improvement.
• Staff felt involved, supported and worked as a team.
• Staff and patients were asked for feedback about the services provided.
• Complaints were dealt with positively and efficiently.
• The practice had information governance arrangements.

Background

Hadleigh Dental Practice is in Hadleigh, Benfleet, Essex and provides NHS and private dental care and treatment for adults and children. The provider has a second sister practice in Kent.

The practice is accessed via a step from the high street. A portable ramp is available 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 3 dentists, 6 dental nurses including 1 trainee dental nurse, 1 dental hygienist and 1 practice manager. The practice has 3 treatment rooms.

During the inspection we spoke with 1 dentist, 3 dental nurses 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.

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

• Take action to ensure the suitability of the premises and ensure all areas are fit for the purpose for which they are being used. In particular, ensure the five-yearly electrical fixed wire testing is undertaken and repairs to work surfaces in treatment rooms is undertaken.
• Implement protocols for the use of closed-circuit television cameras taking into account the guidelines published by the Information Commissioner's Office.