B M Pearson - Cullompton Dental Centre

We carried out this announced inspection on 11 January 2022 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

B M Pearson – Cullompton Dental Centre is in Cullompton and provides NHS and private dental care and treatment for adults and children.

There is level access to one of the treatment rooms at the practice at the rear of the building, accessed through an alley, 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 three dentists, three dental nurses, one receptionist and a practice manager. The practice has four treatment rooms.

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 B M Pearson – Cullompton Dental Centre is the practice manager.

During the inspection we spoke with two dentists, three dental nurses, one receptionist, the practice manager and regional manager. We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

• Monday to Thursday 8.30am – 5.30pm
• Friday 8.30am – 4.30pm.

Our key findings were:

• The practice appeared to be visibly clean and well-maintained. Areas of damp on the ground floor were being addressed.
• The provider had infection control procedures which reflected published guidance.
• Staff knew how to deal with emergencies. Appropriate medicines 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.
• Improvements could be made to ensure the clinicians carry out patient assessments and ensure they are in compliance with current legislation
• 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.
• The appointment system took account of patients’ needs.
• The provider had effective leadership and a culture of continuous improvement.
• Staff felt involved and supported and worked as a team.
• The provider asked staff and patients for feedback about the services they provided.
• The provider dealt with complaints positively and efficiently.
• The provider had information governance arrangements.

There was an area where the provider could make improvements. They should:

• Take action to ensure the clinicians record patient assessments accurately, and take into account relevant nationally recognised evidence-based guidance. In particular, with regard to the current guidance on the classification of periodontal disease.