Archived: Barrow Street Dental Practice

Updated 11 June 2015

This announced inspection was carried out on the 30 April 2015 by an inspector from the Care Quality Commission (CQC).

Prior to the inspection we reviewed information we held about the provider.

During the inspection we toured the premises and spoke with four dentists, three dental nurses and the practice manager. To assess the quality of care provided we looked at practice policies and protocols and other records relating to the management of the service.

We also reviewed information we asked the provider to send us in advance of the inspection. This included their latest statement of purpose describing their values and their objectives and a record of any complaints received in the last 12 months.

We obtained the views of 50 patients who had filled in CQC comment cards and spoke with two patients who used the service on the day of our inspection. We reviewed patient feedback gathered by the practice over the last 12 months.

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 therefore formed the framework for the areas we looked at during the inspection.

Updated 11 June 2015

We carried out a comprehensive inspection of Barrow Street Dental Practice on 30 April 2015.

Barrow Street Dental Practice is situated in St Helens town centre. It offers NHS and private dental care services to patients of all ages. The services provided include preventative advice and treatment and routine and restorative dental care. Treatment and waiting rooms are on the ground and first floor of the premises.

The practice is a training practice for the Dental Foundation Training (DFT) scheme. DFT provides postgraduate dental education for newly qualified dentists in their first (foundation) year of practice; usually within general dental practices. The principal dentist is a trainer for the DFT scheme and provides clinical and educational supervision. The practice currently has two full time dentists who are in their first (foundation) year of practice.

The practice has five dentists, five dental nurses, two dental nurse trainees, two part-time hygienists and a practice manager/receptionist. The practice is open Monday to Friday from 9-00am to 5-00pm.

We spoke with two patients who used the service on the day of our inspection and reviewed 50 completed CQC comment cards. Patients we spoke with and those who completed comment cards were positive about the care they received from the practice. They commented they had no difficulties in arranging a convenient appointment and staff were caring, helpful and respectful.

We found that this practice was providing safe, effective, caring, responsive and well-led care in accordance with the relevant regulations.

Our key findings were:

• The practice had systems to assess and manage risks to patients, including for infection prevention and control, health and safety and the management of medical emergencies.

• The practice carried out oral health assessments and planned treatment in line with current best practice guidance, for example from the Faculty of General Dental Practice (FGDP). Staff received training appropriate to their roles and told us they felt well supported to carry out their work.

• Patients told us they were treated with kindness and respect by staff. Staff ensured there was sufficient time to explain fully the care and treatment they were providing in a way patients understood. Patients commented they felt involved in their treatment and that it was fully explained to them.

• Patients were able to make routine and emergency appointments when needed. There were clear instructions for patients regarding out of hours care.

• There were clearly defined leadership roles within the practice and staff told us they felt well supported and comfortable to raise concerns or make suggestions.

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

• Review how documentation relating to staff recruitment and employment is retained; in order to ensure staff records are complete and easily accessible.

• Establish a process for monitoring and reviewing practice policies and procedures.