The Care Quality Commission
  • Dentist
  • Dentist

Mydentist - Burnby Lane - Pocklington Also known as mydentist

3 Burnby Lane, Pocklington, York, North Yorkshire, YO42 2QB (01759) 307800

Provided and run by:
The Burnby Lane Dental Practice Partnership

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

All Inspections

22/11/2022

During an inspection looking at part of the service

We undertook an announced comprehensive and follow up inspection of Mydentist - Burnby Lane - Pocklington on 22 November 2022. This inspection was carried out under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions, and to confirm that the practice was now meeting legal requirements. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

In response to information of concern sent to CQC we undertook an announced focused inspection of Mydentist - Burnby Lane - Pocklington on 27 September 2022. To help us to establish if there were any justifiable concerns, we conducted a sample dental care record review, a review of quality assurance audit systems and the external referral processes. We found the registered provider was not providing well led care and was in breach of regulation 17 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 Mydentist - Burnby Lane - Pocklington on our website www.cqc.org.uk.

To get to the heart of patients’ experiences of care and treatment we asked the following 5 key questions:

As part of this inspection we asked:

• 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 dental clinic was visibly clean and well-maintained.
  • 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 help them manage risk to patients and staff.
  • Improvements were made to ensure effective leadership, management and clinical oversight was in place.
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • Improvements were made to ensure staff could raise concerns.
  • The practice had staff recruitment procedures which reflected current legislation.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Patients were treated with dignity and respect and staff took care to protect their privacy and personal information.
  • Improvements were made to quality assurance systems.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • The appointment system took account of patients’ needs.
  • Improvements were made to external referral systems.
  • Staff felt involved and 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 dental clinic had information governance arrangements.

Background

The provider has multiple practices and this report is about Mydentist – Burnby Lane – Pocklington.

Mydentist – Burnby Lane - Pocklington is in York 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 are available near the practice.

The dental team includes 2 dentists, 3 dental nurses, 2 receptionists and a practice manager. The practice has 2 treatment rooms. The team was supported by a clinical support manager and area regulatory officers.

During the inspection we spoke with the clinical support manager, 2 dental nurses, the practice manager and area regulatory officers.

The practice is open:

Monday to Friday 9am – 5pm

27/09/2022

During an inspection looking at part of the service

We carried out this announced focused inspection on 27 September 2022 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

In response to information of concern sent to CQC, 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 help us to establish if there were any justifiable concerns, we conducted a sample dental care record review, a review of quality assurance audit systems and the external referral processes. Staff members, a clinical support manager and regulatory officers, on behalf of Mydentist, were present during the evidence review to support the process and corroborate our findings.

We asked the following question:

  • Is it well-led?

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

Our findings were:

  • Leadership, management and clinical oversight was not fully effective
  • Systems to ensure staff awareness of raising concerns required review
  • The practices quality assurance systems were not fully effective
  • Systems to ensure oversight and monitoring of external referrals required review

Background

The provider has multiple practices and this report is about Mydentist – Burnby Lane – Pocklington.

Mydentist – Burnby Lane - Pocklington is in York 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 are available near the practice.

The dental team includes 2 dentists, 3 dental nurses, 2 receptionists and a practice manager. The practice has two treatment rooms. The team was supported by a clinical support manager and area regulatory officers.

During the inspection we spoke with the clinical support manager, 2 dental nurses, the practice manager and area regulatory officers.

The practice is open:

Monday to Friday 9am – 5pm

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

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

27 June 2017

During a routine inspection

We carried out this announced inspection on 27 June 2017 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 CQC inspector who was supported by a specialist dental adviser.

We told the NHS England area team and Healthwatch that we were inspecting the practice. We did not receive any information of concern from them.

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 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

Mydentist - Burnby Lane - Pocklington provides NHS and private treatment to adults and children.

There is level access for people who use wheelchairs and pushchairs. Car parking spaces for patients are available at the front of the practice.

The dental team includes two dentists, three dental nurses, two receptionists, a duel site practice manager and a full compliance support team at head office.

The practice has two surgeries one on each floor, a decontamination room for sterilising dental instruments, a staff room/kitchen and a general office.

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 Mydentist - Burnby Lane - Pocklington was practice manager.

On the day of inspection we collected 38 CQC comment cards filled in by patients. This information gave us a positive view of the practice.

During the inspection we spoke with a dentist, dental nurse, a receptionist 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 – Friday 9am – 5pm closing for lunch between 12:15pm – 1:30pm each day.

Our key findings were:

  • The practice was clean, tidy and well maintained.
  • The practice had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risk.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • 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.
  • The appointment system met patients’ needs.
  • The practice had effective leadership. Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice dealt with complaints positively and efficiently.

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

  • Review the practice’s protocols for recording in the patients’ dental care records or elsewhere the reason for taking the X-ray and quality of the X-ray ensuring compliance with the Ionising Radiation (Medical Exposure) Regulations (IRMER) 2000.
  • Review the practice's protocols for completion of dental care records taking into account guidance provided by the Faculty of General Dental Practice regarding clinical examinations and record keeping.